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Individual

MS. VERONICA SHIVACHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
24110 MEADOWBROOK RD, SUITE 206, NOVI, MI 48375-3459
(888) 707-5716
(888) 707-5716
Mailing address
24110 MEADOWBROOK RD, SUITE 206, NOVI, MI 48375-3459
(888) 707-5716
(888) 707-5716

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704245731
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704245731
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699084343
MI
Enumeration date
09/29/2010
Last updated
04/05/2019
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