Charlie Murphy Gantt, NP, AGPRN, PMHNP
Nurse Practitioner, Psych/Mental Health in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1346861440
StatusActive
Last updated in NPPESMay 8, 2024
Details
- NPI
- 1346861440
- Entity type
- Individual (NPI-1)
- Name
- Charlie Murphy Gantt
- Credential
- NP, AGPRN, PMHNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 29, 2020
- Certification date
- May 8, 2024
- Last updated
- May 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 4704317868 | MI | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 4704317868 | MI | |
| 363LP2300X | Nurse Practitioner, Primary Care | 4704317868 | MI |
Practice location
32905 W 12 Mile RdFarmington Hills, MI 48334-3342
Phone 248-957-9184 · Fax 248-957-9185
Mailing address
1922 Forest View CtCommerce Township, MI 48390-3943
Phone 248-762-8017
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All 29 Psychiatric/Mental Health Nurse Practitioner providers in Farmington Hills · All 39,103 providers in Farmington Hills
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