Individual
PAULA M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
420 W FIFTH AVE, FLINT, MI 48503
(810) 257-3724
Mailing address
420 W FIFTH AVE, FLINT, MI 48503
(810) 257-3724
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704156051
MI
Other
Enumeration date
10/26/2010
Last updated
03/14/2022
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