MEDICARE: DARCY SHAY FNP

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
1	363LF0000X	Family Nurse Practitioner	4704304852	MI

General Provider Information

NPI Number	:	1578163663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARCY SHAY FNP

Provider Business Mailing Address
First Line	:	107 W OAKLAND ST
Second Line	:
City	:	DURAND
State	:	MI
Zip	:	48429-1233
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 NORTH RD STE 101
Second Line	:
City	:	FENTON
State	:	MI
Zip	:	48430-2668
Country	:	US
Telephone Number	:	810-616-7246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2020
Last Update Date	:	02/07/2023

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Directions to “ DARCY SHAY FNP” Practice Location

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