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Individual
MS. CHRISTINE HOLLY SHANTRY
Active
Individual
MS. CHRISTINE HOLLY SHANTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704226543
MI
363LA2100X
Acute Care Nurse Practitioner
4704226543
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12067480
CAQH
MI
Enumeration date
12/31/2009
Last updated
07/24/2012
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