Shanley, Nicole
Shanley, Nicole is an individual health care provider with primary practice located at 175 Gwinnett Dr , Lawrenceville GA 30046-8444. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shanley, Nicole can be contacted via phone (678) 209-2394.Contact Information
Primary practice address
175 Gwinnett Dr
Lawrenceville GA 30046-8444
Phone: (678) 209-2394
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 2923288 | Georgia |
Profile Details
| NPI number | 1720719263 |
|---|---|
| LBN Legal business name | Shanley, Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2022 |
| Last updated | Jun 23rd, 2022 - about 2 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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