Individual
NANCY KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3950 BEAUBIEN ST, GENERAL PEDIATRIC CLINIC, SPECIALTY CENTER, DETROIT, MI 48201-2120
(313) 832-8270
(313) 993-0081
Mailing address
3950 BEAUBIEN ST, GENERAL PEDIATRIC CLINIC, SPECIALTY CENTER, DETROIT, MI 48201-2120
(313) 832-8270
(313) 993-0081
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704258889
MI
Other
Enumeration date
09/18/2008
Last updated
03/19/2015
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