Individual provider · NPI-1

Aundi Marie Abdul-Latif, NP

Nurse Practitioner, Family · Southfield, MI

NPI number1730954538
StatusActive
Last updated in NPPESOct 14, 2024

Details

NPI
1730954538
Entity type
Individual (NPI-1)
Name
Aundi Marie Abdul-Latif
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 21, 2023
Certification date
Oct 14, 2024
Last updated
Oct 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704327608MIYes

Practice location

24623 Greenfield Rd
Southfield, MI 48075-3058

Phone 248-557-9010

Mailing address

24623 Greenfield Rd
Southfield, MI 48075-3058

Phone 248-557-9010

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