IndividualActive
Adrienne Shane, PA-C
NPI 1780269340 · Physician Assistant · Byron Center, MI
Provider details
- NPI number
- 1780269340
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601010060 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
7315 Winter View Dr Sw
Byron Center, MI 49315-6943
Phone: (574) 210-9612
Approximate (ZIP-level) locationGet directions
Mailing address
7315 Winter View Dr Sw
Byron Center, MI 49315-6943
Registry dates
- Enumerated
- 2021-03-16
- Last updated
- 2021-03-16
- Certified
- 2021-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.