Individual
MELISSA ANN PEURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33475 PALMER RD, WESTLAND, MI 48186-4614
(734) 728-2423
(734) 728-2183
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(847) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704206066
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704206066
STATE LICENSE
MI
Enumeration date
10/03/2006
Last updated
12/22/2022
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