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SHANNON MARCETIC
NPI 1144771379
Nurse Practitioner - Family in Redford, MI

Active since October 24, 2016
9315 TELEGRAPH RD, REDFORD, MI 48239(313) 450-4500 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2021, Oct 24, 2016 (2 updates tracked since 2016).

About Shannon Marcetic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MARCETIC (NPI 1144771379) is an individual family provider in Redford, Michigan, licensed in Michigan (4704313073) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1144771379
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON MARCETIC
Location Address9315 TELEGRAPH RDRedford, MI 48239-1260
Mailing Address2419 Riverside Dr Apt C102Trenton, MI 48183-2754
Phone(313) 450-4500
Sole ProprietorYes
Enumeration DateOctober 24, 2016
Last NPPES UpdateMarch 26, 20212 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1144771379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704313073
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704313073 (MI)
9315 TELEGRAPH RD, Redford, MI 48239
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONET ROBINSON
Counselor (Mental Health)
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
STEPHANIE ANN BALSER RN
Registered Nurse (General Practice)
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
RICHARD ALLAN WARNER
Peer Specialist
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
RONDA JACKSON
Student in an Organized Health Care Education/Training Program
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
MR. DEREK THOMAS ROSEN MA/LLP
Psychologist
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (180) 045-0450
AMY NEFF
Registered Nurse
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500
CHRISTINE ELIZABETH MAUGHAN
Behavior Technician
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (734) 450-4500
ABIGAIL DAWSON
Social Worker (Clinical)
9315 TELEGRAPH RD
REDFORD, MI 48239
Wayne County (313) 450-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Marcetic's NPI number?

The NPI number for Shannon Marcetic is 1144771379. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Where is Shannon Marcetic located?

Shannon Marcetic practices at 9315 Telegraph Rd, Redford, MI 48239. The listed phone number is (313) 450-4500.

What is Shannon Marcetic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shannon Marcetic was last updated on March 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.