Individual
ASHLEY LYNN MAIVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5333 MCAULEY DR, SUITE 4003, YPSILANTI, MI 48197-1014
(734) 712-3470
(734) 712-2935
Mailing address
5333 MCAULEY DR, SUITE 4003, YPSILANTI, MI 48197-1014
(734) 712-3470
(734) 712-2935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704286306
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4704286306
—
MI
Enumeration date
07/16/2016
Last updated
12/28/2022
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