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Mrs. Shelliann Marie Endline, NP
Nurse Practitioner in Grand Rapids, Michigan
NPI 1275682437

Shelliann Marie Endline is a Nurse Practitioner based in Jackson, MI. Shelliann Marie Endline practices in Grand Rapids, MI and has the professional credentials of NP. The NPI Number for Shelliann Marie Endline is 1275682437 and holds a License No. 4704176891 (Michigan).

The current practice location address for Shelliann Marie Endline is 770 Kenmoor Ave Se Ste 100, Grand Rapids, MI and can be reached out via phone at 616-272-3533 and via fax at 616-259-4839.

Location: 770 Kenmoor Ave Se Ste 100, Grand Rapids, MI, 49202-1762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275682437
Provider Name
Shelliann Marie Endline
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
770 Kenmoor Ave Se Ste 100, Grand Rapids, MI, 49202-1762
Phone Number
616-272-3533
Fax Number
616-259-4839
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50-0-87-0197-0 01 MI BCBSM PC
4560345 10 05 MI
institution
Provider Business Practice Location Address Details
Address
770 Kenmoor Ave Se Ste 100
City
Grand Rapids
State
Michigan
Zip
49546-8602
Phone Number
616-272-3533
Fax Number
616-259-4839
person
Provider Business Mailing Address Details
Address
770 Kenmoor Ave Se Ste 100
City
Grand Rapids
State
Michigan
Zip
49546-8602
Phone Number
616-272-3533
Fax Number
616-259-4839
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704176891 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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