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

Shadrach Anderson

Individual provider Licensed Practical Nurse · NPI 1679383954

Shadrach Anderson is a Licensed Practical Nurse in Farmington Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5312
Phone: (866) 476-5837
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 4703130343 (MI)

Record details

NPI number1679383954
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 9, 2025
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025
Mailing address27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312

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