Individual
CASHENA SHAUNTE VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
921 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8749
(252) 937-0300
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0300
(252) 937-3108
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
231683
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231683
NC MEDICAL LICENSE
NC
Enumeration date
04/19/2019
Last updated
05/01/2019
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