Individual
BRITTANY SHAMOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44201 DEQUINDRE RD STE EC, TROY, MI 48085-1117
(248) 964-5111
Mailing address
7305 VILLAGE PARK DR, CLARKSTON, MI 48346-1994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704295819
MI
363LF0000X
Family Nurse Practitioner
4704295819
MI
Other
Enumeration date
05/15/2017
Last updated
10/24/2024
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