Provider Demographics
NPI:1063267268
Name:CATOE, SHAWNA NICOLE (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SHAWNA
Middle Name:NICOLE
Last Name:CATOE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 YADKINVILLE RD.
Mailing Address - Street 2:SUITE B
Mailing Address - City:MOCKSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27028-3192
Mailing Address - Country:US
Mailing Address - Phone:336-296-3101
Mailing Address - Fax:336-296-3102
Practice Address - Street 1:1085 NE GATEWAY CT NE STE 100
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2411
Practice Address - Country:US
Practice Address - Phone:704-707-2200
Practice Address - Fax:704-707-2203
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019954363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily