| Doctor Name: | SHARI MEWBORN |
| NPI Number: | 1003264094 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 077801 |
| Business Practice Address: | 7309 Louisburg Rd Raleigh, NC - 276166450 |
| Business Phone Number: | 9197130333 |
| Business Fax Number: | 9197130333 |
| Mailing Address: | 7309 Louisburg Rd, RALEIGH |
| State: | NC |
| Postal Code: | 276166450 |
| Phone Number: | 9197130333 |
| Fax Number: | 9197130333 |
| NPI Enumeration Date: | 05/31/2016 |
| NPI Last Update Date: | 05/31/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN1003X |
| License Number: | 077801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Nutrition Support |
| Taxonomy Definition: | |