Individual
MRS. CARLA ELYSE SHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, APRN-BC
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704159521
MI
Other
Enumeration date
09/22/2006
Last updated
07/20/2022
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