Individual
MRS. MOLLIE HELEN MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
775 S MAIN ST, CHELSEA, MI 48118-1383
(734) 593-6000
Mailing address
775 S MAIN ST, CHELSEA, MI 48118-1383
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704278716
MI
363LG0600X
Gerontology Nurse Practitioner
4704278716
MI
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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