NPI
Shanna Anthony
NPI 1023739646
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2022-09-12
- Last updated
- 2026-03-19
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Specialties
Licenses
- License IN
- 22008206A
Location
- Practice location
- 19361 Us Highway 12
- City
- Edwardsburg MI
- Postal code
- 49112-9229
- Phone
- (760) 505-2070
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Edwardsburg, MI. 42 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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