Individual provider · Type 1 NPI
Cynthia Sides Shook, FNP
Family Nurse Practitioner · Charlotte, NC
NPI number
1669557138
Active
Practice location
3541 Randolph Road, Suite 206
Charlotte, NC 28211-1253
Fax (704) 381-8332
Mailing address
PO Box 601372
Charlotte, NC 28260-1372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 51269 (NC) |
| Nurse Practitioner | 363L00000X | 200804 (NC) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1669557138
Cynthia Sides Shook, FNP's National Provider Identifier is 1669557138, issued on Oct 25, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charlotte, NC. The record was last updated on Mar 7, 2023.