Individual provider · NPI-1

Thomas Carr II

Registered Nurse, Psych/Mental Health, Adult · Ann Arbor, MI

NPI number1639680119
StatusActive
Last updated in NPPESOct 24, 2017

Details

NPI
1639680119
Entity type
Individual (NPI-1)
Name
Thomas Carr II
Sex
Male
Sole proprietor
No
Enumeration date
Oct 24, 2017
Last updated
Oct 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WP0809X Registered Nurse, Psych/Mental Health, Adult4704312898MIYes

Practice location

110 N 4th Ave
Ann Arbor, MI 48104-5503

Phone 734-544-3071

Mailing address

555 Towner St
Ypsilanti, MI 48198-5752

Phone 734-544-3000 · Fax 734-544-6716

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