Individual
SHERYL LYNN SHOEBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
20855 BALINSKI DR, CLINTON TOWNSHIP, MI 48038-5613
(586) 466-4985
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704181141
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629373253
—
MI
Enumeration date
01/12/2011
Last updated
03/13/2017
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