Individual
SHANNON DONKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519
(616) 252-7200
Mailing address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704285202
MI
363LF0000X
Family Nurse Practitioner
4704285202
MI
Other
Enumeration date
06/14/2018
Last updated
01/25/2019
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