Individual
SHANNON WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
33505 SCHOOLCRAFT RD # 3, LIVONIA, MI 48150-1503
(734) 721-0200
Mailing address
7039 BONNIE DR APT 106, WESTLAND, MI 48185-2863
(248) 880-3230
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704333770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704333770
REGISTERED NURSWE
MI
Enumeration date
03/04/2021
Last updated
03/04/2021
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