Organization
NP PROVISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIMIKO L DREW NP-C (PROPRIETOR/NURSE PRACTITIONER)
(313) 587-3087
Entity
Organization
Contact information
Practice address
27177 LAHSER RD STE 201, SOUTHFIELD, MI 48034-8468
(248) 895-8562
(248) 286-6255
Mailing address
220 MAIN SAIL CT, DETROIT, MI 48207-5008
(313) 587-3087
(248) 286-6255
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704177492
MI
Other
Enumeration date
12/27/2017
Last updated
11/11/2022
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