Individual
EMILY MICHELLE RICE-SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 PEELER ST STE B, KALAMAZOO, MI 49008-2380
(269) 345-8618
(269) 345-1508
Mailing address
PO BOX 4095, KALAMAZOO, MI 49003-4095
(269) 345-8618
(269) 345-1508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704313805
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704313805
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704313805
MI LICENSE
MI
Enumeration date
02/10/2020
Last updated
10/20/2022
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