Most Relevant Information
Provider Data
| NPI Number: | 1003325895 |
| Provider Name: | SHONNA SHANEICE SMITH RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0808X |
| Specialty: | Registered Nurse |
| License Number: | 4704298740 |
Most Important Dates
| Enumeration Date: | 09/25/2017 |
| Last Updated: | 09/25/2017 |
Provider Practice Location
615 E CROSSTOWN PKWY
KALAMAZOO
MI
490012501
Practice Location Phone/Fax
| Phone: | 2695537037 |
| Fax: | 2693820019 |
Provider Mailing Location
1908 S BURDICK ST
KALAMAZOO
MI
490013626
Provider Mailing Phone/Fax
| Phone: | 2692173108 |
| Fax: |