Individual
OBIAGERI RITA OPARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 JOHN R ST STE 930, DETROIT, MI 48201-2017
(313) 745-7247
Mailing address
4160 JOHN R ST STE 930, DETROIT, MI 48201-2017
(313) 745-7247
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704289240
MI
363LF0000X
Family Nurse Practitioner
Primary
4704289240
MI
363LP2300X
Primary Care Nurse Practitioner
4704289240
MI
Other
Enumeration date
04/04/2018
Last updated
04/04/2022
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