Individual provider · Type 1 NPI
Carla Elyse Shock, RN, MSN, APRN-BC
Acute Care Nurse Practitioner · Troy, MI
NPI number
1245339290
Active
Practice location
44201 Dequindre Rd
Troy, MI 48085-1117
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Other practice locations
- 26755 Ballard St, Harrison Township, MI 48045-2419 · (586) 466-5464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 4704159521 (MI) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1245339290
Carla Elyse Shock, RN, MSN, APRN-BC's National Provider Identifier is 1245339290, issued on Sep 22, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Troy, MI. The record was last updated on Jul 20, 2022.