Individual
CHRISTY LYNN GOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-CNS
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-3400
Mailing address
40429 CINNAMON CIR, CANTON, MI 48187-4588
(248) 755-4241
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704276431
MI
364SA2100X
Acute Care Clinical Nurse Specialist
4704276431
MI
Other
Enumeration date
03/16/2020
Last updated
03/04/2021
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