Individual provider · Type 1 NPI
Shelley Antonucci, NURSE PRACTITIONER
Nurse Practitioner · Detroit, MI
Practice location
17187 Schaefer Hwy
Detroit, MI 48235-4132
Fax (248) 595-8269
Mailing address
355 Tyler Road
Lasalle, ONTARIO N9J3X2
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704261629 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1497211338
Shelley Antonucci, NURSE PRACTITIONER's National Provider Identifier is 1497211338, issued on Feb 15, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 15, 2019.