IndividualActive
Travis Shamery
NPI 1215876040 · Pediatric Registered Nurse · Grand Rapids, MI
Provider details
- NPI number
- 1215876040
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Sole proprietor
- No
- License
- 4704356487 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Phone: (616) 391-9000
Approximate (ZIP-level) locationGet directions
Mailing address
7747 Steele Ave
Jenison, MI 49428-7937
Registry dates
- Enumerated
- 2026-03-26
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.