Individual
DIANA SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
45640 SCHOENHERR RD, SUITE B, SHELBY TOWNSHIP, MI 48315-6033
(586) 247-4300
(586) 532-6496
Mailing address
45640 SCHOENHERR RD, SUITE B, SHELBY TOWNSHIP, MI 48315-6033
(586) 247-4300
(586) 532-6496
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704267416
MI
363LA2200X
Adult Health Nurse Practitioner
4704267416
MI
Other
Enumeration date
07/13/2013
Last updated
10/27/2015
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