Individual
MS. CARRIE NICOLE EVATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP, BC
Contact information
Practice address
5456 15 MILE RD, STERLING HEIGHTS, MI 48310-5110
(586) 977-7246
(586) 977-1492
Mailing address
24508 STAR VALLEY DR, SAINT CLAIR SHORES, MI 48080-3175
(586) 873-8102
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704253160
MI
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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