Individual provider · Type 1 NPI

Shanna Roberts

Licensed Practical Nurse · Detroit, MI

NPI number 1417401704 Active

Practice location

9366 Mansfield St
Detroit, MI 48228-2197

Call (313) 879-8546 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703111951 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1417401704

Shanna Roberts's National Provider Identifier is 1417401704, issued on Aug 4, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Aug 4, 2016.