Shantaya Mcdaniel, is a
Licensed Practical Nurse based in Orion, Michigan. Shantaya Mcdaniel is licensed to practice in Michigan (license number 4703130918) and their current practice location is
4866 Broomfield Way, Orion, Michigan. This provider can be reached at their office (for appointments etc.) via phone at
(248) 221-9638.
NPI number for Shantaya Mcdaniel is 1700749306 and their current mailing address is 4866 Broomfield Way, Orion, Michigan. This provider
does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1700749306.
Provider's Profile
| Full Name | Shantaya Mcdaniel |
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| Gender | |
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| Speciality | Licensed Practical Nurse |
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| Location | 4866 Broomfield Way, Orion, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700749306
- Provider Enumeration Date: 12/09/2025
- Last Update Date: 12/09/2025
Medical Identifiers
Medical identifiers for Shantaya Mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700749306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 4703130918 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shantaya Mcdaniel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shantaya Mcdaniel, 4866 Broomfield Way, Orion, MI 48359-1957 Ph: Not Available | Shantaya Mcdaniel, 4866 Broomfield Way, Orion, MI 48359-1957 Ph: (248) 221-9638 |
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