Individual provider · NPI-1

Heather Ainsworth

Nurse Practitioner · Southfield, MI

NPI number1568833697
StatusActive
Last updated in NPPESOct 15, 2015

Details

NPI
1568833697
Entity type
Individual (NPI-1)
Name
Heather Ainsworth
Sex
Female
Sole proprietor
No
Enumeration date
Oct 15, 2015
Last updated
Oct 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner3932331MIYes

Practice location

25300 Lahser Rd
Southfield, MI 48033-5868

Phone 248-354-3222

Mailing address

31224 Shorecrest Dr
Apt 26302
Novi, MI 48377-1190

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