Shanley, Nicole

Shanley, Nicole is an individual health care provider with primary practice located at 175 Gwinnett Dr , Lawrenceville GA 30046-8444. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Shanley, Nicole can be contacted via phone (678) 209-2394.

Contact Information

Primary practice address
175 Gwinnett Dr Lawrenceville GA 30046-8444
Phone: (678) 209-2394
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X 2923288 Georgia

Profile Details

NPI number 1720719263
LBN Legal business name Shanley, Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2022
Last updated Jun 23rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers