Individual
MS. ELIZABETH CARRI SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 E PAKES RD, STANTON, MI 48888-9276
(616) 255-7683
(616) 255-7683
Mailing address
1124 E PAKES RD, STANTON, MI 48888-9276
(616) 255-7683
(616) 255-7683
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704355149
MI
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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