Individual
ASHLEY NICHOLE POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
14671 TELEGRAPH RD, REDFORD, MI 48239-3300
(313) 948-3055
Mailing address
14671 TELEGRAPH RD, REDFORD, MI 48239-3300
(313) 948-3055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704350598
MI
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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