| NPI | 1124393202 |
|---|---|
| Other Name | IMAN NURSE PRACTITIONER CENTER |
| Entity Type | Organization |
| Authorized Contact | VERONICA SHIVACHI-WILLIAMS Nurse Practitioner 248-595-8536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-08-06 |