Provider Demographics
NPI:1457011983
Name:SARVEY, SHAUN A (MSN, NP AGACNP-BC)
Entity Type:Individual
Prefix:MR
First Name:SHAUN
Middle Name:A
Last Name:SARVEY
Suffix:
Gender:M
Credentials:MSN, NP AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 WINDY HILL LN
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-8805
Mailing Address - Country:US
Mailing Address - Phone:704-771-0825
Mailing Address - Fax:
Practice Address - Street 1:112A ARGUS LN # 210
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6977
Practice Address - Country:US
Practice Address - Phone:704-281-7921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-24
Last Update Date:2021-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCSARV-XVLQN363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care