IndividualActive
Joellen Shangraw, RN
NPI 1407103732 · Case Management Registered Nurse · Grand Rapids, MI
Provider details
- NPI number
- 1407103732
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 4704111852 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
1471 Grace St Se
Grand Rapids, MI 49506-1678
Phone: (616) 913-2006
Fax: (616) 913-2005
Approximate (ZIP-level) locationGet directions
Mailing address
1471 Grace St Se
Grand Rapids, MI 49506-1678
Registry dates
- Enumerated
- 2012-08-06
- Last updated
- 2012-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.