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

Shannon Marcetic

Individual provider Registered Nurse · NPI 1144771379

Shannon Marcetic is a Registered Nurse in Redford, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

9315 Telegraph Rd
Redford, MI 48239-1260
Phone: (313) 450-4500
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704313073 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704313073 (MI)

Record details

NPI number1144771379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 24, 2016
Last updated in NPPESMarch 26, 2021
Certification dateMarch 4, 2021
Mailing address2419 Riverside Dr Apt C102, Trenton, MI 48183-2754

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