Shanetha Livingston NP

NPI 1437349172 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1437349172
Gender Female
Enumeration Date 07/30/2007
Last Updated 11/16/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
7430 2ND AVE
SUITE 210
DETROIT MI, 48202-2739, US
Phone (313) 748-4200
Fax
Business Location
7430 2ND AVE
SUITE 210
DETROIT MI, 48202-2739, US
Phone (313) 748-4200
Fax (810) 794-4407
Toxanomy
Taxonomy Code 363LF0000X
License State Michigan
License Number 4704232658
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According to our database, Shanetha Livingston NP NPI is 1437349172, taxonomy code is 363LF0000X and license number is 4704232658, license state is located at Michigan. Shanetha Livingston NP physically located at 7430 2nd Ave, Detroit MI, 48202-2739. NPI Number Shanetha Livingston NP has the Individual type.

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1437349172 NPI number is provided on an as is basis without warranty of any kind. 1437349172 is maintained by the National Plan & Provider Enumeration System. The contents of Shanetha Livingston NP are for informational purposes only.