Individual provider · Type 1 NPI
Nicole Shanley
Addiction (Substance Use Disorder) Registered Nurse · Lawrenceville, GA
NPI number
1720719263
Active
Practice location
175 Gwinnett Dr
Lawrenceville, GA 30046-8444
Mailing address
6264 Shoreview Cir
Flowery Branch, GA 30542-7604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 2923288 (GA) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1720719263
Nicole Shanley's National Provider Identifier is 1720719263, issued on Jun 23, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 23, 2022.