Individual
CARLY STEMPIEN MOUHAJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22301 FOSTER WINTER DR, SOUTHFIELD, MI 48075-3707
(248) 849-8607
(248) 849-8108
Mailing address
22350 WATERLAND DR, NORTHVILLE, MI 48167-3559
(313) 570-5225
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
4704311262
MI
363L00000X
Nurse Practitioner
Primary
4704311262
MI
363LF0000X
Family Nurse Practitioner
4704311262
MI
Other
Enumeration date
04/30/2020
Last updated
03/15/2023
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