Theresa Krell
Community Health Worker in Pontiac, MI. Individual provider (NPI-1).
NPI number1093443459
StatusActive
Last updated in NPPESNov 24, 2023
Details
- NPI
- 1093443459
- Entity type
- Individual (NPI-1)
- Name
- Theresa Krell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2022
- Certification date
- Aug 12, 2022
- Last updated
- Nov 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 174H00000X | Health Educator | – | – |
Practice location
44405 Woodward AvePontiac, MI 48341-5023
Phone 248-858-6110 · Fax 248-858-6015
Mailing address
901 Pine Thistle LnBloomfield Hills, MI 48302-2016
Phone 586-770-3498
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