Individual
SHIRLEY MARIE VICENTE-CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 577-9700
Mailing address
500 KIRTS BLVD STE 100, TROY, MI 48084-4135
(248) 824-6600
(855) 618-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704308074
MI
363LF0000X
Family Nurse Practitioner
Primary
4704308074
MI
Other
Enumeration date
01/13/2019
Last updated
04/23/2026
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