Individual
SHANNON LONDON NOWISKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1060 S VAN DYKE, SUITE 300, BAD AXE, MI 48413
(989) 269-7606
(989) 269-7933
Mailing address
1100 S VAN DYKE RD, BAD AXE, MI 48413-9615
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704250226
MI
Other
Enumeration date
10/01/2015
Last updated
05/04/2016
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