SearchMichigan124Q00000X

Nicole Shively

NPI 1407319767 · on the registry since 2019

Practice

Address
6051 Frankfort Hwy
Benzonia, MI 49616
Phone
(231) 383-4800
Organisation at this address
Manistee Benzie Cmh
Benzie Leelanau District Health Dept
Benzie Leelanau District Health Dept
Benzie Leelanau District Health Dept
Northwest Michigan Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
68

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-04-12

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