Individual
ANITA MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704274055
MI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
4704274055
MI
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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