Individual
SHAUNA JOY RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
555 GRAYSTONE, TRAVERSE CITY, MI 49686-7901
(231) 620-4171
Mailing address
555 GRAYSTONE, TRAVERSE CITY, MI 49686-7901
(231) 620-4171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F12210656
MI
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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