Individual
JOANNA HEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN AGACNP-BC
Contact information
Practice address
3578 WAKEFIELD RD, BERKLEY, MI 48072-3453
(248) 990-5423
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(248) 990-5423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704263701
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704263701
MI
Other
Enumeration date
04/08/2016
Last updated
04/26/2021
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