Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANTAE MONAE JOHNSON, AGACNP-BC
Active Sole ProprietorMRS. SHANTAE MONAE JOHNSON, AGACNP-BC is a Acute Care Nurse Practitioner healthcare provider located in DETROIT, Michigan. NPI 1417406752 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · DETROIT, MI
Registration Details
- NPI Number
- 1417406752
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2016 (9.8914671688398 yrs)
- Last Updated
- Jul 29, 2025
- License
-
4704245204 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 MACK AVE FL 1DETROIT, MI, 482012416Browse MI providers · Browse ZIP 48201
- Phone
- 3138188207
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
Other Acute Care Nurse Practitioner Providers in DETROIT, MI
| Name | Credential | NPI |
|---|---|---|
| KATHERINE J. ASHMORE | N.P. | 1902857469 |
| SHERYL JEAN MARENTETTE | ANP-BC | 1619914199 |
| MRS. LINDA S SIKORA | MSN, APRN | 1710087580 |
| MRS. SHARON LYNN MATKOSKY | NP | 1932299443 |
| MS. KATHLEEN ANN BRADY | NP | 1104902915 |
| JANET FREDAL WYMAN | MSN, APRN,BC, NP-C | 1629155312 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.