Individual
DANIELLE M BESSESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
28455 HAGGERTY RD, STE 200, NOVI, MI 48377-2982
(248) 893-3200
(248) 893-2951
Mailing address
28455 HAGGERTY RD, STE 200, NOVI, MI 48377-2982
(248) 893-3200
(248) 893-2951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704191524
MI
363LF0000X
Family Nurse Practitioner
4704191524
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704191524
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704191524
LICENSE
MI
Enumeration date
12/28/2010
Last updated
11/10/2019
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