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Individual

MRS. SHANNA LYNN DRISCOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN

Contact information

Practice address
5758 COOLEY LAKE RD, WATERFORD, MI 48327-3073
(248) 421-6000
Mailing address
5390 HUNTSMAN DR, WHITE LAKE, MI 48383-1678
(810) 599-1284

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704237602
MI

Other

Enumeration date
01/18/2019
Last updated
01/18/2019
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