SearchMichigan101Y00000X

Audreanna Shannon

NPI 1225676596 · on the registry since 2019

Practice

Address
707 W Milwaukee St
Detroit, MI 48202
Phone
(313) 422-5549
Organisation at this address
Detroit Wayne Mental Health Authority
Detroit Wayne Mental Health Authority
Detroit Wayne Integrated Health Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
263

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101Y00000X
101YP2500X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan