Livingston, Shanetha

Livingston, Shanetha is an individual health care provider with primary practice located at 7430 2Nd Ave Suite 210, Detroit MI 48202-2739. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Livingston, Shanetha can be contacted via phone (313) 748-4200.

Contact Information

Primary practice address
7430 2Nd Ave Suite 210 Detroit MI 48202-2739
Phone: (313) 748-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704232658 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 4704232658 Michigan

Profile Details

NPI number 1437349172
LBN Legal business name Livingston, Shanetha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Sep 26th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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