Individual
RACHEL ADEBUKOLA O'DARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3031 W GRAND BLVD STE 600, DETROIT, MI 48202-3014
(708) 299-2318
Mailing address
43644 ARBORVIEW LN, VAN BUREN TOWNSHIP, MI 48111-3347
(708) 299-2318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704317648
MI
363LF0000X
Family Nurse Practitioner
Primary
4704317648
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
05/23/2018
Last updated
04/28/2026
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