SearchNorth Carolina1041C0700X

Shannon Bienkowski

NPI 1770020109 · on the registry since 2017 · sole proprietor

Practice

Address
5700 Executive Center Dr Ste 110
Charlotte, NC 28212
Phone
(704) 525-3255
Organisation at this address
Monarch
Monarch
Monarch
Easterseals Ucp
Easterseals Ucp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Additional practice sites

  • 45 S Main St, West Hartford, CT

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
CT, NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina