Individual
ASHLEY QUINN NUTT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29502 BOBRICH ST, LIVONIA, MI 48152-3496
(734) 776-9263
Mailing address
29502 BOBRICH ST, LIVONIA, MI 48152-3496
(734) 776-9263
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
4704344422
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704344422
MI
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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