KRYSTAL ROSE SHOCK
NPI 1255254819
Nurse Practitioner - Family in Saint Clair Shores, MI
About Krystal Rose Shock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRYSTAL ROSE SHOCK (NPI 1255254819) is an individual family provider in Saint Clair Shores, Michigan, licensed in Michigan (4704381967) and active in the NPI registry since July 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
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 Krystal Shock's NPI number?
The NPI number for Krystal Shock is 1255254819. It was assigned to this individual provider in the NPPES registry on July 31, 2026.
Where is Krystal Shock located?
Krystal Shock practices at 22631 Greater Mack Ave Ste 100, Saint Clair Shores, MI 48080. The listed phone number is (586) 800-0086.
What is Krystal Shock'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 Krystal Shock was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.
