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Individual

MRS. SHAYNE RYDEN GEIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
234540
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
5017957
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1982049920
NC
Enumeration date
05/03/2013
Last updated
08/17/2023
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