Individual
DENNETTE B FEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
44199 DEQUINDRE RD STE 423, TROY, MI 48085-1128
(248) 964-4580
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1867
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704200703
MI
363LW0102X
Women's Health Nurse Practitioner
4704200703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500F318190
BCBSM
MI
Enumeration date
11/07/2006
Last updated
07/21/2023
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