Individual
MRS. SONI ANIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN, PMHNP-BC
Contact information
Practice address
37353 CHESAPEAKE RD, FARMINGTON HILLS, MI 48335-1146
(248) 702-8354
Mailing address
37353 CHESAPEAKE RD, FARMINGTON HILLS, MI 48335-1146
(248) 702-8354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704247330
MI
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704247330
MI
363L00000X
Nurse Practitioner
4704247330
MI
363L00000X
Nurse Practitioner
5009462
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704247330
MI
Other
Enumeration date
08/20/2013
Last updated
03/17/2018
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