| Shalina Denise Nevins, APRN-NP | |
|
24801 5 Mile Rd Ste Redford, Redford, MI 48239-3655 | |
| (734) 299-6735 | |
| Not Available |
| Full Name | Shalina Denise Nevins |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 24801 5 Mile Rd Ste Redford, Redford, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588443444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704309769 (Michigan) | Secondary |
| 363L00000X | Nurse Practitioner | 71015239A (Indiana) | Primary |
| Entity Name | Kind Holistic And Primary Care Providers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023864527 PECOS PAC ID: 2264967611 Enrollment ID: O20241122001288 |
| Mailing Address | Practice Location Address |
|---|---|
| Shalina Denise Nevins, APRN-NP 43416 Heatherfield Blvd, Van Buren Township, MI 48111-4953 Ph: (313) 308-6154 | Shalina Denise Nevins, APRN-NP 24801 5 Mile Rd Ste Redford, Redford, MI 48239-3655 Ph: (734) 299-6735 |
Brandie Keskes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14671 Telegraph Rd, Redford, MI 48239 Phone: 313-948-3055 | |
Dr. Kelly Susewitz Shakoor, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 | |
Nathan Allen Johnson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9315 Telegraph Rd, Redford, MI 48239 Phone: 313-450-4500 Fax: 313-450-4512 | |
Alana Susick, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14671 Telegraph Rd, Redford, MI 48239 Phone: 313-948-3055 | |
Roland H Gaines Jr., NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14140 Shamrock Dr, Redford, MI 48239 Phone: 313-858-1246 | |
Mrs. Theresa Player Rowry, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14329 Wormer, Redford, MI 48239 Phone: 313-580-1070 | |
Marcus Macdonald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14671 Telegraph Rd, Redford, MI 48239 Phone: 313-948-3055 |