Individual
FELICIA DESMIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8225 MOORSBRIDGE RD, PORTAGE, MI 49024-7845
(800) 395-3223
(248) 620-6405
Mailing address
6549 TOWN CENTER DR, CLARKSTON, MI 48346-4824
(800) 395-3223
(248) 620-6405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704325562
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704325562
MI
Other
Enumeration date
09/18/2024
Last updated
09/19/2024
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