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Individual

SHANEA CARVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1014 E GRAND RIVER AVE, BRIGHTON, MI 48116-1804
(872) 231-3162
(702) 977-1496
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704308040
MI

Other

Enumeration date
06/04/2020
Last updated
07/15/2026
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