Individual
SALLY RAE ARBUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NPC
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
16001 W 9 MILE RD, DEPT OF NEONATOLOGY, SOUTHFIELD, MI 48075-4818
(248) 465-3144
(248) 465-3146
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
4704076259
MI
363LN0000X
Neonatal Nurse Practitioner
4704076259
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4704076259
MI
364SN0000X
Neonatal Clinical Nurse Specialist
4704076259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
439455810
—
MI
Enumeration date
06/01/2005
Last updated
11/18/2015
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