Organization
ONDEMAND HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FURHA IMAN SHUTTARI NP (NURSE PRACTITIONER)
(248) 842-1311
Entity
Organization
Contact information
Practice address
1890 S PENNFIELD LN, CANTON, MI 48188-2559
(248) 842-1311
Mailing address
1890 S PENNFIELD LN, CANTON, MI 48188-2559
(248) 842-1311
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
08/14/2026
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