Individual
ALICE M EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
19933 W 13 MILE RD, SOUTHFIELD, MI 48076-1024
(248) 203-9000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1860
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704104835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4578760
—
MI
01
—
500F318190
BCBSM
MI
Enumeration date
07/31/2006
Last updated
05/19/2022
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