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Individual

SHAE LEE NICOLE SHAFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-2840
Mailing address
1111 PEPPER HILL RD, GREENSBORO, NC 27407-2837
(828) 443-4218

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010637
NC

Other

Enumeration date
06/25/2018
Last updated
09/20/2021
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