Individual
MICHELLE LORRAINE PARDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
19275 NORTHLINE RD, SOUTHGATE, MI 48195-2220
(734) 287-2076
(734) 287-2731
Mailing address
400 N INGALLS ST, #3185, ANN ARBOR, MI 48109-2003
(734) 647-0132
(734) 647-0351
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704169272
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4585836
—
MI
05
—
4631456
—
MI
05
—
4810116
—
MI
01
—
5008600970
BCBS
MI
Enumeration date
10/03/2006
Last updated
12/11/2012
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