Individual provider · NPI-1

Shakica N Bastfield

Nurse's Aide · Charlotte, NC

NPI number1821728213
StatusActive
Last updated in NPPESJun 16, 2022

Details

NPI
1821728213
Entity type
Individual (NPI-1)
Name
Shakica N Bastfield
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2022
Certification date
Jun 16, 2022
Last updated
Jun 16, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide546940NCYes

Practice location

5513 Monroe Rd Ste 207
Charlotte, NC 28212-5503

Phone 980-273-2726

Mailing address

5513 Monroe Rd Ste 207
Charlotte, NC 28212-5503

Phone 980-273-2726

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