Individual provider · Type 1 NPI
Shelby Lynn Van Wagoner, FNP-C
Family Nurse Practitioner · Raleigh, NC
NPI number
1730955162
Active
Practice location
811 Spring Forest Rd Ste 1400
Raleigh, NC 27609-9145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 5019198 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1730955162
Shelby Lynn Van Wagoner, FNP-C's National Provider Identifier is 1730955162, issued on Nov 27, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Raleigh, NC. The record was last updated on Nov 27, 2023.