Individual provider · Type 1 NPI
Shannon Elizabeth Boraski
Family Nurse Practitioner · Charlotte, NC
NPI number
1265011076
Active
Practice location
2001 Vail Ave
Charlotte, NC 28207-1248
Mailing address
6135 Park South Dr Ste 510
Charlotte, NC 28210-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5014343 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1265011076
Shannon Elizabeth Boraski's National Provider Identifier is 1265011076, issued on Apr 7, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 9, 2024.