Individual provider · Type 1 NPI

Kimberly O'Shaughnessy

Primary Care Nurse Practitioner · Novi, MI

NPI number 1265053177 Active

Practice location

39450 W 12 Mile Rd
Novi, MI 48377-3600

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 · (248) 898-7043

Specialties and licenses

TaxonomyCodeLicense
Oncology Registered Nurse 163WX0200X4704285718 (MI)
Gerontology Nurse Practitioner 363LG0600X4704285718 (MI)
Primary Care Nurse Practitioner Primary 363LP2300X4704285718 (MI)

Primary Care Nurse Practitioner: Definition to come...

47 other providers at this address

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About NPI 1265053177

Kimberly O'Shaughnessy's National Provider Identifier is 1265053177, issued on May 1, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Novi, MI. The record was last updated on Dec 20, 2022.