Healthcare Provider Details

I. General information

NPI: 1447105184
Provider Name (Legal Business Name): SHAPRETTA MCCLAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1971 E BELTINE AVE 106
GRAND RAPIDS MI
49441
US

IV. Provider business mailing address

1071 ROYALE GLEN DR APT B
MUSKEGON MI
49441-7763
US

V. Phone/Fax

Practice location:
  • Phone: 407-721-5485
  • Fax: 407-721-5485
Mailing address:
  • Phone: 407-721-5485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: