SHANTAE MONAE JOHNSON

DETROIT, MI
NPI1417406752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MI  4704245204)
Enumeration Date2016-09-28
Last Update Date2025-07-29
Business Address
Mrs. SHANTAE MONAE JOHNSON AGACNP-BC
100 MACK AVE FL 1
DETROIT, MI 48201-2416
Phone number: 313-818-8207
Mailing Address
Mrs. SHANTAE MONAE JOHNSON AGACNP-BC
11331 HAZELTON
REDFORD, MI 48239-1429
Phone number: 313-231-6110
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