Nicole Shanley
NPI #1720719263 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1720719263
- Entity Type
- Individual
- Name
- Nicole Shanley
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 23, 2022
- Last Updated
- Jun 23, 2022
Practice Location
- Address
- 175 GWINNETT DR
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-8444
- Phone
- (678) 209-2394
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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