Shawn Marie Desmond in Wilmington - Pediatrics
Shawn Marie Desmond - NPI 1740342112
Shawn Marie Desmond is a Pediatrics in Wilmington, North Carolina. Shawn Marie Desmond practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shawn Marie Desmond is 1740342112. The last update date is 2023-03-07.
Shawn Marie Desmond's current location address is 3505 Converse Dr, Wilmington, North Carolina. You can contact this provider via phone number 9103925634 and fax number 9103925654. The mailing address for Shawn Marie Desmond is 3505 Converse Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Marie Desmond |
|---|---|
| Address | 3505 Converse Dr, Wilmington, North Carolina |
| Phone Number | 9103925634 |
| Fax Number | 9103925654 |
| Sole Proprietor | N |
| Credentials | RN, MSN, C |
NPI Number Detail
| NPI Number | 1740342112 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3505 Converse Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284036131 |
| Phone Number | 9103925634 |
| Fax Number | 9103925654 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 300318 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114434 | NC | LICENSE FOR RN | |
| 300318 | NC | STATE MEDICAL BOARD LICEN |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shawn Marie Desmond?
The Shawn Marie Desmond has been issued the NPI (National Provider Identifier) 1740342112 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Shawn Marie Desmond?
The Shawn Marie Desmond is situated at 3505 Converse Dr, in the city of Wilmington, state of NC, with the zip code 284036131.
What is Shawn Marie Desmond's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shawn Marie Desmond is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.
On what date did the Shawn Marie Desmond receive its 1740342112 assignment from the Centers for Medicare & Medicaid Services?
The Shawn Marie Desmond was assigned its 1740342112 by the Centers for Medicare & Medicaid Services on 2006-12-14.
When was the Shawn Marie Desmond's information last updated?
The Shawn Marie Desmond's information was last updated on 2023-03-07.