Individual
JANET M SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5325 ELLIOTT DR, YPSILANTI, MI 48197-8633
(734) 712-8000
(734) 712-4319
Mailing address
5325 ELLIOTT DR, SUITE 203, YPSILANTI, MI 48197-8633
(734) 712-8000
(734) 712-4429
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704176447
MI
364SA2100X
Acute Care Clinical Nurse Specialist
4704176447
MI
Other
Enumeration date
03/03/2006
Last updated
03/28/2016
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