Individual
ANDREA DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1675 WATERTOWER PL STE 600, EAST LANSING, MI 48823-8044
(517) 324-3445
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704280715
MI
Other
Enumeration date
09/03/2021
Last updated
01/11/2023
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