Shannon Sood
Individual provider Active NPI Licensed Practical Nurse · Stockbridge, MI
NPI 1558764985 · NPPES record last updated Sep 30, 2014
Key facts
- NPI
- 1558764985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4303089398 (MI)
- Practice address
- 4623 Chapman Rd
Stockbridge, MI 49285-9474 - Phone
- (517) 610-6308
- NPI assigned
- Sep 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4303089398 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4303089398 | MI | Yes |
Addresses
Primary practice location
4623 Chapman Rd
Stockbridge, MI 49285-9474
Mailing address
4623 Chapman Rd
Stockbridge, MI 49285-9474
Phone (517) 610-6308
Other providers in Stockbridge, MI
- Tara Machleit
- Paul Dobos, DDS, PLLC
- Larry Ernest Porzsolt
- Jamie Rose
- Jessica Marilyn Shaw
- Stockbridge Area Ambulance, Inc.
- Stockbridge Area Emergency Services Authority
- Mark K Taylor
- Amanda Catherine Tilkins
- White Oak Dental PLLC
All providers in Stockbridge, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.