Shannon Lea Holtsclaw, is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Newland, North Carolina. Shannon Lea Holtsclaw is licensed to practice in North Carolina (license number 172290) and her current practice location is
360 Beech St, Newland, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(828) 733-5889.
NPI number for Shannon Lea Holtsclaw is 1326563909 and her current mailing address is 284 Executive Park Dr Ste 100, Concord, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326563909.
Provider's Profile
Full Name | Shannon Lea Holtsclaw |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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Location | 360 Beech St, Newland, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326563909
- Provider Enumeration Date: 08/04/2017
- Last Update Date: 08/04/2017
Medical Identifiers
Medical identifiers for Shannon Lea Holtsclaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326563909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 172290 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Lea Holtsclaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Lea Holtsclaw, 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 939-1100 | Shannon Lea Holtsclaw, 360 Beech St, Newland, NC 28657-9670 Ph: (828) 733-5889 |
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