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Individual

MS. HEATHER DAWN PREVOST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
36555 26 MILE RD STE 1100, LENOX, MI 48048-3186
(947) 523-4010
Mailing address
36555 26 MILE RD, LENOX, MI 48048-3185
(947) 523-4010

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
4704279946
MI
363L00000X
Nurse Practitioner
Primary
4704279946
MI
363LF0000X
Family Nurse Practitioner
4704279946
MI
363LF0000X
Family Nurse Practitioner
F09210133
MI

Other

Enumeration date
05/02/2021
Last updated
04/14/2026
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