Individual
NELLY Q TESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2300 HAGGERTY RD STE 2160, WEST BLOOMFIELD, MI 48323-2192
(248) 859-2457
(248) 859-2473
Mailing address
2300 HAGGERTY RD STE 2160, WEST BLOOMFIELD, MI 48323-2192
(248) 859-2457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704160635
MI
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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