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Shannon Smith, NNP
Neonatal Nurse Practitioner in West Bloomfield, Michigan
NPI 1821137829

Shannon Smith is a Neonatal Nurse Practitioner based in Southfield, MI and is specialized in Neonatal. Shannon Smith practices in West Bloomfield, MI and has the professional credentials of NNP. The NPI Number for Shannon Smith is 1821137829 and holds a License No. 4704216593 (Michigan).

The current practice location address for Shannon Smith is 6777 W Maple Rd, West Bloomfield, MI and can be reached out via phone at 313-874-4688.

Location: 6777 W Maple Rd, West Bloomfield, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821137829
Provider Name
Shannon Smith
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
6777 W Maple Rd, West Bloomfield, MI, 48033-3849
Phone Number
313-874-4688
Fax Number
Provider Enumeration Date
02/06/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4704216593 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
6777 W Maple Rd
City
West Bloomfield
State
Michigan
Zip
48322-3013
Phone Number
313-874-4688
Fax Number
person
Provider Business Mailing Address Details
Address
6777 W Maple Rd
City
West Bloomfield
State
Michigan
Zip
48322-3013
Phone Number
313-874-4688
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
363LN0000X
License No.
4704216593 (Michigan)
Definition
Definition to come...
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