NICOLE SHANLEY

LAWRENCEVILLE, GA
NPI1720719263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: GA  2923288)
Enumeration Date2022-06-23
Last Update Date2022-06-23
Business Address
NICOLE SHANLEY
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
NICOLE SHANLEY
6264 SHOREVIEW CIR
FLOWERY BRANCH, GA 30542-7604
Phone number: 515-343-7919