Individual
INGA MONAE LEVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4909 E OUTER DR, DETROIT, MI 48234-3446
(313) 366-2000
(313) 369-3950
Mailing address
4909 E OUTER DR, DETROIT, MI 48234-3446
(313) 366-2000
(313) 369-0143
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704234972
MI
Other
Enumeration date
04/29/2015
Last updated
08/13/2020
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