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Ms. Shauntel Nichole Marcin
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1689305948

Shauntel Nichole Marcin is a Family Nurse Practitioner based in South Bend, IN and is specialized in Family. Shauntel Nichole Marcin practices in Mishawaka, IN. The NPI Number for Shauntel Nichole Marcin is 1689305948 and holds a License No. 28219930A (Indiana).

The current practice location address for Shauntel Nichole Marcin is 221 Red Coach Dr Ste E, Mishawaka, IN and can be reached out via phone at 574-335-7630.

Location: 221 Red Coach Dr Ste E, Mishawaka, IN, 46617-2059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689305948
Provider Name
Shauntel Nichole Marcin
Credential
Provider Entity Type
Individual
Gender
Female
Address
221 Red Coach Dr Ste E, Mishawaka, IN, 46617-2059
Phone Number
574-335-7630
Fax Number
Provider Enumeration Date
06/17/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1102613645 01 IN ANTHEM
300065789 05 IN
institution
Provider Business Practice Location Address Details
Address
221 Red Coach Dr Ste E
City
Mishawaka
State
Indiana
Zip
46545-8324
Phone Number
574-335-7630
Fax Number
person
Provider Business Mailing Address Details
Address
221 Red Coach Dr Ste E
City
Mishawaka
State
Indiana
Zip
46545-8324
Phone Number
574-335-7630
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28219930A (Indiana)
Definition
Definition to come...
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