Organization
CAROLINA SHORES HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA S NANCE FNP-C (PRESIDENT)
(910) 575-0281
Entity
Organization
Contact information
Practice address
9869 OCEAN HWY W STE 10, CALABASH, NC 28467-2636
(910) 575-0281
(910) 575-0282
Mailing address
9869 OCEAN HWY W STE 10, CALABASH, NC 28467-2636
(910) 575-0281
(910) 575-0282
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
20979
NC
363LF0000X
Family Nurse Practitioner
005002515
NC
363LF0000X
Family Nurse Practitioner
Primary
201481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900156
—
NC
Enumeration date
10/11/2006
Last updated
01/05/2011
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