SHONTAYA CARRICO CNS
NPI 1831501808
Clinical Nurse Specialist - Adult Health in Wyandotte, MI
Active since May 27, 2014
About Shontaya Carrico Cns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHONTAYA CARRICO CNS (NPI 1831501808) is an individual adult health provider in Wyandotte, Michigan, licensed in Michigan (4704247508) and active in the NPI registry since May 2014.
NPPES Registry Identity
NPI1831501808
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameSHONTAYA CARRICOCredential: CNS
Location Address2333 BIDDLE AVENUEWyandotte, MI 48192
Mailing Address2333 Biddle AvenueWyandotte, MI 48192
Phone(734) 246-9547
Sole ProprietorNo
Enumeration DateMay 27, 2014
✔ NPI 1831501808 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License✔ Licensed in MI · 4704247508
2333 BIDDLE AVENUE, Wyandotte, MI 48192
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center
2333 BIDDLE AVENUE, HENRY FORD WYANDOTTE HOSPITAL
WYANDOTTE, MI 48192
WYANDOTTE, MI 48192
Social Worker (Clinical)
2333 BIDDLE AVENUE, BEHAVIORAL SERVICES
WYANDOTTE, MI 48192
WYANDOTTE, MI 48192
Pharmacy (Community/Retail Pharmacy)
2333 BIDDLE AVENUE
WYANDOTTE, MI 48192
WYANDOTTE, MI 48192
Student in an Organized Health Care Education/Training Program
2333 BIDDLE AVENUE
WYANDOTTE, MI 48192
WYANDOTTE, MI 48192
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831501808, enumerated as an "individual" on May 27, 2014.
The provider is located at 2333 BIDDLE AVENUE WYANDOTTE, MI 48192 and the phone number is (734) 246-9547.
Clinical Nurse Specialist with taxonomy code 364SA2200X and a focus in Adult Health.
