Individual
BEKEZA RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
2635 COOLIDGE HWY, BERKLEY, MI 48072-1554
(248) 541-2512
Mailing address
13630 GRANDVIEW DR, GIBRALTAR, MI 48173-9719
(734) 493-2403
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704285075
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704285075
MI
Other
Enumeration date
02/26/2017
Last updated
11/09/2021
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