NICOLE ASHLEY SHATTUCK - NPI 1619564887 - Student in an Organized Health Care Education/Training Program in Saginaw, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Nicole Ashley Shattuck NPPES

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

NICOLE ASHLEY SHATTUCK (NPI 1619564887) is an individual student in an organized health care education/training program in Saginaw, Michigan, licensed in Michigan (5351016728) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1619564887

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameNICOLE ASHLEY SHATTUCK

Location Address3360 TITTABAWASSEE RDSaginaw, MI 48604-9453

Mailing Address2154 Durham DrSaginaw, MI 48609-9236 · (989) 297-3257

Phone(989) 790-5101

Sole ProprietorYes

Enumeration DateDecember 22, 2020

NPPES CertifiedDecember 22, 2020

✔ NPI 1619564887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 5351016728

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3360 TITTABAWASSEE RD, Saginaw, MI 48604

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