Individual
SHANNA MACCLAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
416 CONNABLE AVE, PETOSKEY, MI 49770-2212
(800) 248-6777
Mailing address
8133 E POTTER RD, DAVISON, MI 48423-8165
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18282121049
MI
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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