Individual provider · Type 1 NPI

Shanan Thode

Registered Nurse · Lake Orion, MI

NPI number 1104317544 Active

Practice location

630 Grampian Ave
Lake Orion, MI 48362-3330

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704253396 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104317544

Shanan Thode's National Provider Identifier is 1104317544, issued on May 22, 2018. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Lake Orion, MI. The record was last updated on May 22, 2018.