Preventative Primary Care
Nurse Practitioner, Family in Taylor, MI. Organization (NPI-2).
NPI number1043531007
StatusActive
Last updated in NPPESJun 14, 2010
Details
- NPI
- 1043531007
- Entity type
- Organization (NPI-2)
- Legal business name
- Preventative Primary Care
- Organization subpart
- No
- Enumeration date
- Jun 14, 2010
- Last updated
- Jun 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 4704190451 | MI | Yes |
Practice location
20600 Eureka Rd Ste 522Taylor, MI 48180-5373
Phone 734-225-6507 · Fax 734-225-6513
Mailing address
20600 Eureka Rd Ste 522Taylor, MI 48180-5373
Phone 734-225-6507 · Fax 734-225-6513
Authorized official
Sheila Marie Blanding
Family Nurse Practitioner
7342256507
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