Individual
TERESA MARCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 222-7652
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 222-7652
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704146109
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704146109
NBOARD OF NURSING REGISTERED NURSE LICENSE
MI
Enumeration date
03/05/2014
Last updated
03/05/2014
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