IndividualActive
Anita Shamoun, P.A-C
NPI 1043564941 · Medical Physician Assistant · Detroit, MI
Provider details
- NPI number
- 1043564941
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601006497 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Phone: (313) 966-3300
Approximate (ZIP-level) locationGet directions
Mailing address
39080 Plumbrook Dr
Farmington Hills, MI 48331-2972
Registry dates
- Enumerated
- 2012-10-31
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.