Individual
COLLEEN MARY SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4600 OLEANDER DR, WILMINGTON, NC 28403
(910) 392-9502
Mailing address
4600 OLEANDER DR, WILMINGTON, NC 28403-5149
(910) 392-9502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007302
NC
Other
Enumeration date
11/03/2014
Last updated
11/08/2019
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