NPI 1023450053
Marlena Shaw
Practice location
- Address
- 41621 W 11 Mile Rd, Novi, MI 48375-1804
- Phone
- (248) 299-0030
- Mailing address
- 25572 W 12 Mile Rd #304, Southfield, MI 48034-8047
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1023450053
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Jul 2013
- Record last updated
- 18 Jul 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.