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NPI Code Detail

MEDICARE: SHELLY ADKINS SPRAIN N.P.

MEDICARE: SHELLY ADKINS SPRAIN N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner4704177916MI

General Provider Information

NPI Number : 1790890515
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLY ADKINS SPRAIN N.P.
Provider Business Mailing Address
First Line : 2611 TRAFFORD RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-2906
Country : US
Telephone Number : 248-760-6353
Fax Number : 248-549-2601
Provider Business Practice Location Address
First Line : 39350 9 MILE RD
Second Line :
City : NORTHVILLE
State : MI
Zip : 48167-9164
Country : US
Telephone Number : 248-760-6353
Fax Number : 248-549-2601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 07/01/2016

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Directions to “ SHELLY ADKINS SPRAIN N.P.” Practice Location

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