TAKEDRIA MINGO-BERRY

NOVI, MI
NPI1255816591
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MO  2018035915)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MO  2011034040)
207Q00000X Family Medicine
(Licence: MO  2018035915)
363LF0000X Nurse Practitioner, Family
(Licence: MO  2018035915)
363LF0000X Nurse Practitioner, Family
(Licence: KS  53-81402-052)
Enumeration Date2018-10-02
Last Update Date2024-09-03
Business Address
Mrs. TAKEDRIA MINGO-BERRY FNP-BC
41800 W 11 MILE RD STE 109751
NOVI, MI 48375-1872
Phone number: 240-660-1220
Mailing Address
Mrs. TAKEDRIA MINGO-BERRY FNP-BC
18006 E UNION SCHOOL RD
INDEPENDENCE, MO 64058-1975
Phone number: 816-217-7659