# SHAUNA LEE BARBEAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053470963
- **Gender:** F
- **Credential:** MSN CNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 4704252799 | MI | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 04/20/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1026128 | MCLAREN HEALTH PLAN | MI |
| 01 | — | 1053470963 | MOLINA HEALTHCARE OF MICHIGAN | MI |
| 05 | — | 1053470963 | — | MI |
| 01 | — | 157557 | GREAT LAKES HEALTH PLAN OF MICHIGAN | MI |
| 01 | — | 500G310570 | BLUE CROSS BLUE SHIELD OF MICHIGAN | MI |