Individual
KERRILY QUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,ACAGNP-BC
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-4000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704271971
MI
363LA2100X
Acute Care Nurse Practitioner
4704271971
MI
Other
Enumeration date
05/02/2020
Last updated
07/19/2022
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