Individual
MICHELLE SHAUGHNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
41810 N VENTURE DR UNIT D136, ANTHEM, AZ 85086-3174
(480) 556-0446
Mailing address
20401 N 73RD ST STE 230, SCOTTSDALE, AZ 85255-4153
(480) 556-0446
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
260864
AZ
Other
Enumeration date
08/16/2021
Last updated
09/29/2021
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