Proffitt, Shana C

Proffitt, Shana C is an individual health care provider with primary practice located at 845 Malcolm Blvd , Connelly Springs NC 28612. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Proffitt, Shana C can be contacted via phone (828) 580-3555.

Contact Information

Primary practice address
845 Malcolm Blvd Connelly Springs NC 28612
Phone: (828) 580-3555
Fax: (828) 874-2111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 202133 North Carolina

Profile Details

NPI number 1407109309
LBN Legal business name Proffitt, Shana C
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2012
Last updated Mar 17th, 2018 - about 7 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 1407109309 NPPES
North Carolina MEDICAID 1407109309

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