Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Patrick Lamar Shields, CNA

Individual provider Rehabilitation Practitioner · NPI 1639618747

Mr. Patrick Lamar Shields, CNA is a Rehabilitation Practitioner in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
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Practice location Address checks out

1492 E Beltline Ave SE
Grand Rapids, MI 49506-4336
Phone: (231) 730-2435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence 432676488260 (MI)

Record details

NPI number1639618747
Entity typeIndividual (Type 1)
GenderMale
Credentials CNA
Sole proprietorYes
NPI enumeratedFebruary 22, 2017
Last updated in NPPESFebruary 22, 2017

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