Individual
AAQUILA BUFFINGTON - SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
15990 W 9 MILE RD, SOUTHFIELD, MI 48075-4826
(248) 849-5692
Mailing address
15442 ASHTON RD, DETROIT, MI 48223-1302
(313) 622-4915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2018014420
MI
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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