Mitchell, Shannon Lee

Mitchell, Shannon Lee is an individual health care provider with primary practice located at 1500 E Medical Center Dr 1H247 University Hospital, Ann Arbor MI 48109-5048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Mitchell, Shannon Lee can be contacted via phone (734) 936-4280.

Contact Information

Primary practice address
1500 E Medical Center Dr 1H247 University Hospital Ann Arbor MI 48109-5048
Phone: (734) 936-4280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704209293 Michigan

Profile Details

NPI number 1801863741
LBN Legal business name Mitchell, Shannon Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jan 12th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801863741 NPPES
Michigan Other 430F364420 BCBSM
Michigan MEDICAID 4777970 BCBSM

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