Individual
SHANEA CARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4111 S STATE RD, DAVISON, MI 48423-8785
(810) 441-9043
Mailing address
4111 S STATE RD, DAVISON, MI 48423-8785
(810) 441-9043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704308040
MI
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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