Individual
KAREN ANN WEZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, MED, RN
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-4496
Mailing address
44432 BROADMOOR BLVD, NORTHVILLE, MI 48168-8630
(734) 786-4964
(734) 786-2316
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704127034
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
363LP0808X
NPI
MI
Enumeration date
05/18/2015
Last updated
05/05/2016
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