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Individual

SHELBY BRADY ROLFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
901 EAST BLVD, CHARLOTTE, NC 28203-5203
(704) 355-6560
Mailing address
901 EAST BLVD, CHARLOTTE, NC 28203-5203

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015358
NC
363LF0000X
Family Nurse Practitioner
22650
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP5920
SC
Enumeration date
02/27/2019
Last updated
06/16/2024
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