Individual
PAULA M WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9450 S SAGINAW RD, SUITE E, GRAND BLANC, MI 48439-8206
(810) 695-4000
(810) 695-4055
Mailing address
36123 SCHOOLCRAFT RD, SUITE E, LIVONIA, MI 48150-1216
(734) 793-6140
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704231240
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704231240
MI
Other
Enumeration date
01/05/2015
Last updated
10/14/2016
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