| NPI | 1629505821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTESIAN ELIZABETH BOYKINS Owner 248-419-4253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 207RA0000X Internal Medicine, Adolescent Medicine | |
| 225100000X Physical Therapist | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2019-04-23 |