Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 241333 | NC |
NPI | 1033152293 |
---|---|
Provider Name | Shawn Kneipp |
First Address | Chapel Hill, NC 27599-7460 |
Second Address | Chapel Hill, NC 27599-7460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 03/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
302861500 | (05) | FL |
P05923 | (02) | FL |
Y88902 | (02) | FL |