Individual
MS. NANCY B. BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
28625 NORTHWESTERN HWY, SUITE 213, SOUTHFIELD, MI 48034-1828
(248) 354-9666
(248) 354-3653
Mailing address
28625 NORTHWESTERN HWY, SUITE 213, SOUTHFIELD, MI 48034-1828
(248) 354-9666
(248) 354-3653
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704101059
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383328522
FEDERAL TAX ID
MI
01
—
5008668630
INDIVIDUAL BS
MI
Enumeration date
08/01/2006
Last updated
11/21/2013
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