Organization
FUNDAMENTAL HEALING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN PERRY FNP-BC, NP-C (FAMILY NURSE PRACTITIONER)
(313) 715-4835
Entity
Organization
Contact information
Practice address
29829 TELEGRAPH RD STE 204, SOUTHFIELD, MI 48034-1330
(248) 601-0234
(844) 273-8145
Mailing address
29829 TELEGRAPH RD STE 204, SOUTHFIELD, MI 48034-1330
(248) 601-0234
(844) 273-8145
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
364SH1100X
Holistic Clinical Nurse Specialist
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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