Organization
NEUROBEHAVIORAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE SHAFER PMHNP-BC (OWNER)
(517) 899-2932
Entity
Organization
Contact information
Practice address
6420 QUAIL RIDGE LN, DIMONDALE, MI 48821-9680
(517) 899-2932
(517) 408-0134
Mailing address
6420 QUAIL RIDGE LN, DIMONDALE, MI 48821-9680
(517) 899-2932
(517) 408-0134
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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