Susan Campitelle, ANP-BC
Nurse Practitioner, Gerontology in Livonia, MI. Individual provider (NPI-1).
NPI number1013261734
StatusActive
Last updated in NPPESMar 18, 2025
Details
- NPI
- 1013261734
- Entity type
- Individual (NPI-1)
- Name
- Susan Campitelle
- Credential
- ANP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2012
- Certification date
- Mar 18, 2025
- Last updated
- Mar 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 4704270638 | MI | Yes |
| 163WG0600X | Registered Nurse, Gerontology | 4704270638 | MI |
Practice location
19000 St Joes Pkwy Ste 330Livonia, MI 48152-1477
Phone 734-884-5263 · Fax 734-884-5264
Mailing address
24 Frank Lloyd Wright DrPo Box 0446 - Lobby J
Ann Arbor, MI 48105-9484
Phone 734-747-6766
Other practice locations
5301 E Huron River Dr
Ypsilanti, MI 48197-1051
Ypsilanti, MI 48197-1051
Phone 734-712-8676 · Fax 734-712-3855
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