Individual
SHANNELL SINTELL MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6324 FAIRVIEW RD STE 330, CHARLOTTE, NC 28210-3260
(704) 316-2670
(704) 316-2671
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020610
NC
363LF0000X
Family Nurse Practitioner
5020610
NC
Other
Enumeration date
08/08/2024
Last updated
10/10/2024
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