Individual
SHANTONIA NAQUITA MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
29756 CITY CENTER DR APT 4, WARREN, MI 48093-2426
(313) 467-3565
Mailing address
29756 CITY CENTER DR APT 4, WARREN, MI 48093-2426
(313) 467-3565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704349797
MI
163WG0000X
General Practice Registered Nurse
4704349797
MI
163WH0200X
Home Health Registered Nurse
4704349797
MI
163WI0500X
Infusion Therapy Registered Nurse
4704349797
MI
163WS0200X
School Registered Nurse
4704349797
MI
163WW0000X
Wound Care Registered Nurse
4704349797
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704349797
MI
Other
Enumeration date
02/16/2021
Last updated
04/30/2026
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