Individual provider · Type 1 NPI

Shane S. Smith-Gangi, NP

Nurse Practitioner · Statesville, NC

NPI number 1265456974 Active

Practice location

129 Sherlock Dr
Statesville, NC 28625-1916

Mailing address

650 Signal Hill Drive Ext, PO Box 1845
Statesville, NC 28625-4353

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X300078 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1265456974

Shane S. Smith-Gangi, NP's National Provider Identifier is 1265456974, issued on Jul 26, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Statesville, NC. The record was last updated on Jul 8, 2007.