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John Shaver, FNP
Family Nurse Practitioner in Traverse City, Michigan
NPI 1760001200

John Shaver is a Family Nurse Practitioner based in Traverse City, MI and is specialized in Family. John Shaver practices in Traverse City, MI and has the professional credentials of FNP. The NPI Number for John Shaver is 1760001200 and holds a License No. 4704339651 (Michigan).

The current practice location address for John Shaver is 2600 Lafranier Rd, Traverse City, MI and can be reached out via phone at 231-995-6111.

Location: 2600 Lafranier Rd, Traverse City, MI, 49686-4765
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Provider Profile Details
NPI Number
1760001200
Provider Name
John Shaver
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
2600 Lafranier Rd, Traverse City, MI, 49686-4765
Phone Number
231-995-6111
Fax Number
Provider Enumeration Date
04/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704339651 01 MI LICENSING AND REGULATORY AFFAIRS
71009970A 01 IN INDIANA PROFESSIONAL LICENSING AGENCY
institution
Provider Business Practice Location Address Details
Address
2600 Lafranier Rd
City
State
Zip
49686-4765
Phone Number
231-995-6111
Fax Number
person
Provider Business Mailing Address Details
Address
2600 Lafranier Rd
City
State
Zip
49686-4765
Phone Number
231-995-6111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
4704339651 (Michigan)
Definition
Definition to come...
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