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

Active since December 22, 2020
3360 TITTABAWASSEE RD, SAGINAW, MI 48604(989) 790-5101 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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Other Providers at the Same Location NPPES 11

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

DIANE LYNETTE GARBE RPH
Pharmacist (Pharmacotherapy)
3360 TITTABAWASSEE RD
SAGINAW, MI 48604
Saginaw County (989) 249-6033
NICOLE MANTEY
Pharmacist
3360 TITTABAWASSEE RD
SAGINAW, MI 48604
Saginaw County (989) 249-6010
MADISON SHANK
Pharmacist
3360 TITTABAWASSEE RD
SAGINAW, MI 48604
Saginaw County (989) 249-6010
MEIJER INC
Pharmacy (Community/Retail Pharmacy)
3360 TITTABAWASSEE RD
SAGINAW, MI 48604
Saginaw County (989) 249-6010
MCKAYLA REID
Pharmacist
3360 TITTABAWASSEE RD
SAGINAW, MI 48604
Saginaw County (989) 249-6010
TRAVIS OMMODT
Pharmacist (Pharmacotherapy)
3360 TITTABAWASSEE RD
SAGINAW, MI 48604
Saginaw County (989) 249-6010
RAGHAVENDRA MAKAM
Pharmacist (Pharmacotherapy)
3360 TITTABAWASSEE RD
SAGINAW, MI 48604
Saginaw County (989) 249-6033
GRETTA VOSS
Pharmacist
3360 TITTABAWASSEE RD
SAGINAW, MI 48604
Saginaw County (989) 249-6010

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 Nicole Shattuck's NPI number?

The NPI number for Nicole Shattuck is 1619564887. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Nicole Shattuck located?

Nicole Shattuck practices at 3360 Tittabawassee Rd, Saginaw, MI 48604. The listed phone number is (989) 790-5101.

What is Nicole Shattuck's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicole Shattuck was last updated on December 22, 2020. 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.