Individual
MS. SHAWN L. BADAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2700 ROBERT T LONGWAY BLVD, STE #A, FLINT, MI 48503-2190
(810) 235-2599
(810) 235-2836
Mailing address
30700 TELEGRAPH RD, STE 1536, BINGHAM FARMS, MI 48025-4590
(810) 762-7038
(810) 760-0440
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704234549
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4938201
—
MI
01
—
500B514740
BLUE SHIELD
MI
Enumeration date
10/10/2006
Last updated
02/07/2018
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