Nurse Practitioner, Pediatrics
SHANNON KONIECZKI RN, MSN, CPNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1184991713 · enumerated 2011-11-28 · record updated 2013-03-27. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 4201 ST. ANTIONE UHC 5D, UNIVERDITY PEDIATRICIANS, DETROIT, MI, 48201-2119 (313) 966-5051 Fax (313) 966-0665 Google Maps Apple Maps OpenStreetMap
- Practice location 3901 BEAUBIEN ST., CHILDREN'S HOSPITAL OF MI, DETROIT, MI, 48201-2119 (313) 993-2950 Fax (313) 745-5237 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 4704261113 MI
In this directory
Locations and evidence
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Practice location
DETROIT, MI, 482012119
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.