IndividualActive
Shontaya Carrico, CNS
NPI 1831501808 · Adult Health Clinical Nurse Specialist · Wyandotte, MI
Provider details
- NPI number
- 1831501808
- Entity type
- Individual
- Primary specialty
- Adult Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- License
- 4704247508 (MI)
Mailing address
2333 Biddle Avenue
Wyandotte, MI 48192
Registry dates
- Enumerated
- 2014-05-27
- Last updated
- 2014-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.