Shannon Brown
Individual provider Active NPI Registered Nurse · Flushing, MI
NPI 1942017140 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1942017140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4703127872 (MI)
- Practice address
- 2521 N Elms Rd
Flushing, MI 48433-9423 - Phone
- (989) 423-0971
- NPI assigned
- Dec 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 4703127872 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4703127872 | MI | Yes |
Addresses
Primary practice location
2521 N Elms Rd
Flushing, MI 48433-9423
Mailing address
2521 N Elms Rd
Flushing, MI 48433-9423
Phone (989) 423-0971
Other providers in Flushing, MI
- Natalya Annette Brezden
- Kaytlynn Mary Brookshire
- Casandra Deborah Brown
- Catherine Brown
- Gayle R Brown
- Tenesha Brown
- Tyree Brown
- Austin Bruff
- BT Dental PC
- Molly Burke
All providers in Flushing, MI · Registered 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 Dec 12, 2024. 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.