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Individual
DR. CLARISSA SHAVERS
Active
Individual
DR. CLARISSA SHAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704120368
MI
363LP0200X
Pediatric Nurse Practitioner
SHA1-0428-5824
MI
Other
Enumeration date
03/29/2007
Last updated
12/17/2012
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