Provider Demographics
NPI:1033152293
Name:KNEIPP, SHAWN (ARNP)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:KNEIPP
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNC CHAPEL HILL SCHOOL OF NURSING
Mailing Address - Street 2:CB#7460, CARRINGTON HALL
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7460
Mailing Address - Country:US
Mailing Address - Phone:919-966-5425
Mailing Address - Fax:
Practice Address - Street 1:UNC CHAPEL HILL SCHOOL OF NURSING
Practice Address - Street 2:CB#7460, CARRINGTON HALL
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7460
Practice Address - Country:US
Practice Address - Phone:919-966-5425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC241333363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL302861500Medicaid
FL302861500Medicaid
FLP05923Medicare UPIN
Y8890YMedicare PIN