Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Ashley Shattuck

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619564887

Nicole Ashley Shattuck is a Student in an Organized Health Care Education/Training Program in Saginaw, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

3360 Tittabawassee Rd
Saginaw, MI 48604-9453
Phone: (989) 790-5101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 5351016728 (MI)

Record details

NPI number1619564887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020

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