Individual provider · Type 1 NPI
Shasta Latisha Smith
Home Health Registered Nurse · Clinton Township, MI
NPI number
1386596930
Active
Practice location
37469 Charter Oaks Blvd
Clinton Township, MI 48036-2415
Fax (313) 247-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Registered Nurse Primary | 163WH0200X | 4704405379 (MI) |
Home Health Registered Nurse: Definition to come...
Another provider at this address
Other home health registered nurse providers in Clinton Township
About NPI 1386596930
Shasta Latisha Smith's National Provider Identifier is 1386596930, issued on Feb 13, 2026. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Clinton Township, MI. The record was last updated on Feb 13, 2026.