Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023450053 Individual Practitioner Female Practitioner

Marlena Shaw

Licensed Practical Nurse • Novi, MI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Marlena Shaw is a registered healthcare professional specializing in Licensed Practical Nurse in Novi, MI. Official NPI practice address is registered at 41621 W 11 MILE RD.

Practice Location & Contact Primary Location

Practice Address

41621 W 11 Mile Rd

Novi, MI 483751804

Telephone 2482990030
Associated Practice Facility / Clinic
🏢 Centria Healthcare Llc Facility NPI 1053641498

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Novi, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
275 Specialists

Practicing in Novi, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703111716

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Wendy Jeffers

Registered Nurse

NPI 1003166539
Gina Golowic

Technician, Other

NPI 1003275587
Clarissa Canal

Behavior Technician

NPI 1003300120
Justin O'kelly

Behavior Technician

NPI 1003300401
Jessica Montes

Behavior Technician

NPI 1003303314
Nada Makki

Behavior Technician

NPI 1003304072

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2013

Registered at 41621 W 11 MILE RD, NOVI, MI 483751804 (Tel: 2482990030)

📍
Updated Business Mailing Address July 18, 2013

Registered at 25572 W 12 MILE RD, #304, SOUTHFIELD, MI 480348047

👤
Provider Name / Credentials Updated July 18, 2013

Recorded as MARLENA SHAW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2013

Licensed Practical Nurse (License #4703111716 in MI)

🟢
Initial NPI Registration & Enumeration July 18, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023450053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2013
Last Update: July 18, 2013
Sole Proprietor: No

Mailing Address

25572 W 12 Mile Rd, #304

Southfield, MI 480348047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.