Individual
SHANNON LYN OCHOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5400 MACKINAW RD STE 4200, SAGINAW, MI 48604-9533
(989) 791-2330
(989) 791-2329
Mailing address
5400 MACKINAW RD STE 4200, SAGINAW, MI 48604-9533
(989) 791-2330
(989) 791-2329
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
4704237490
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704237490
MI
Other
Enumeration date
11/19/2020
Last updated
04/02/2021
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