Individual
SHANNA SUZANNE VANPELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 552-0620
Mailing address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 552-0620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704236708
MI
Other
Enumeration date
01/28/2020
Last updated
12/29/2020
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