Individual
MRS. SHIRLEY GEORGE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P
Contact information
Practice address
6555 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4926
(248) 592-2313
Mailing address
6555 W MAPLE RD, WEST BLOOMFIELD, MI 48322-4926
(248) 592-2313
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
4704227515
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704227515
MI
Other
Enumeration date
08/18/2011
Last updated
08/26/2024
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