Individual
CHERIE ANN SHEDORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6207 REGAL CT, CHARLOTTE, NC 28269-0600
(704) 548-5664
Mailing address
6207 REGAL CT, CHARLOTTE, NC 28269-0600
(704) 548-5664
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
149077
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047331
AANA LICENSE
—
01
—
149077
RN LICENSE
NC
05
—
8052176
—
NC
Enumeration date
06/29/2006
Last updated
07/08/2007
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