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

Shantae Brooks

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1710736301

Shantae Brooks is a Nurse Practitioner in Inkster, Michigan. Qualified in 2023, 3 years ago. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024

Practice location Address checks out

3555 Meadowdale St
Inkster, MI 48141-2618
Phone: (313) 614-8940
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704298442 (MI)

Record details

NPI number1710736301
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESJuly 22, 2026
Certification dateJuly 22, 2026
Mailing address3555 Meadowdale St, Inkster, MI 48141-2618

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Inkster