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Search › Michigan › 363L00000X

Shelley Antonucci, NURSE PRACTITIONER

NPI 1497211338 · on the registry since 2019

Practice

Address
17187 Schaefer Hwy
Detroit, MI 48235
Phone
(313) 960-6605
Fax
(248) 595-8269
Organisation at this address
Triple T Medical Pc
Michigan Rehabilitation Physicians
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-15

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