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1821137829
SHANNON SMITH
WEST BLOOMFIELD, MI
NPI
1821137829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner, Neonatal
(Licence: MI 4704216593)
Enumeration Date
2007-02-06
Last Update Date
2021-01-19
Business Address
SHANNON SMITH NNP
6777 W MAPLE RD DEPARTMENT OF WOMENS HEALTH
WEST BLOOMFIELD, MI 48322-3013
Phone number: 313-874-4688
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Mailing Address
SHANNON SMITH NNP
26901 BEAUMONT BLVD
SOUTHFIELD, MI 48033-3849
Phone number: 248-577-3313
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