Individual
SUSAN CAMPITELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
19000 ST JOES PKWY STE 330, LIVONIA, MI 48152-1477
(734) 884-5263
(734) 884-5264
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 - LOBBY J, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
4704270638
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704270638
MI
Other
Enumeration date
11/02/2012
Last updated
03/18/2025
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