Individual
KELLY MOGLIA LINDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(313) 574-4116
Mailing address
1363 WILTSHIRE RD, BERKLEY, MI 48072-2137
(248) 721-0399
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
4704251634
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704251634
MI
Other
Enumeration date
06/20/2012
Last updated
03/30/2021
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