Individual
ANGELA NICOLE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202
(800) 653-6568
Mailing address
41943 HENSALL ST, CLINTON TOWNSHIP, MI 48038-1971
(313) 812-1790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704245138
MI
363LN0000X
Neonatal Nurse Practitioner
4704245138
MI
Other
Enumeration date
04/02/2014
Last updated
07/20/2018
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