MEDICARE: SHANETTA LAVEAR DINGLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		NC

General Provider Information

NPI Number	:	1558766899
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANETTA LAVEAR DINGLE

Provider Business Mailing Address
First Line	:	7312 JACQUELINE LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-5686
Country	:	US
Telephone Number	:	984-352-7206
Fax Number	:

Provider Business Practice Location Address
First Line	:	7312 JACQUELINE LN
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-5686
Country	:	US
Telephone Number	:	984-352-7206
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/29/2014
Last Update Date	:	12/14/2025

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Directions to “ SHANETTA LAVEAR DINGLE ” Practice Location

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