Individual
KIANNA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
17743 NORTHROP ST, DETROIT, MI 48219-2321
(313) 932-0146
Mailing address
17743 NORTHROP ST, DETROIT, MI 48219-2321
(313) 932-0146
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704312785
MI
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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