Individual
MRS. LYNN REDDEN SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2828 CONCORD ST, TRAVERSE CITY, MI 49684-4618
(231) 346-6930
Mailing address
10850 E TRAVERSE HWY, STE 4400, TRAVERSE CITY, MI 49684-1364
(231) 346-6800
(231) 346-6017
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
102054
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
4704295437
MI
Other
Enumeration date
11/22/2005
Last updated
02/22/2016
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