Individual
MARIAN NUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3541
Mailing address
1902 DAYTONA AVE, WINDSOR, ONTARIO N9B3V-7
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704338976
MI
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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