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Shelly J Carnevale, RN
Family Nurse Practitioner in Grand Rapids, Michigan
NPI 1326567413

Shelly J Carnevale is a Family Nurse Practitioner based in Grand Rapids, MI and is specialized in Family. Shelly J Carnevale practices in Grand Rapids, MI and has the professional credentials of RN. The NPI Number for Shelly J Carnevale is 1326567413 and holds a License No. 4704230671 (Michigan).

The current practice location address for Shelly J Carnevale is 710 Kenmoor Ave Se Ste 200, Grand Rapids, MI and can be reached out via phone at 616-588-7246.

Location: 710 Kenmoor Ave Se Ste 200, Grand Rapids, MI, 49546-2379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326567413
Provider Name
Shelly J Carnevale
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
710 Kenmoor Ave Se Ste 200, Grand Rapids, MI, 49546-2379
Phone Number
616-588-7246
Fax Number
Provider Enumeration Date
09/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
710 Kenmoor Ave Se Ste 200
City
Grand Rapids
State
Michigan
Zip
49546-2379
Phone Number
616-588-7246
Fax Number
person
Provider Business Mailing Address Details
Address
710 Kenmoor Ave Se Ste 200
City
Grand Rapids
State
Michigan
Zip
49546-2379
Phone Number
616-588-7246
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704230671 (Michigan)
Definition
Definition to come...
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