Felton, Shanda Nicole

Felton, Shanda Nicole is an sole proprietor health care provider with primary practice located at 609 Attain St Ste 101 , Fuquay Varina NC 27526-1984. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Felton, Shanda Nicole can be contacted via phone (919) 567-0684.

Contact Information

Primary practice address
609 Attain St Ste 101 Fuquay Varina NC 27526-1984
Phone: (919) 567-0684
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0010-09102 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1972161503
LBN Legal business name Felton, Shanda Nicole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2019
Last updated Jul 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972161503 NPPES
North Carolina Other 0010-09102 NORTH CAROLINA MEDICAL BOARD LICENSE

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