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Individual

MS. MICHELLE BRENDALEE SHAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
101 REGENCY PARK DR STE 140, MCDONOUGH, GA 30253-7076
(770) 957-8626
(770) 957-7200
Mailing address
101 REGENCY PARK DR STE 140, MCDONOUGH, GA 30253-7076
(770) 957-8626
(770) 957-7200

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-NP179009
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179009
GEOEGIA BOARD OF NURSING
GA
Enumeration date
07/18/2013
Last updated
01/06/2026
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