Individual
MAEGAN FABIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39465 W 14 MILE RD, NOVI, MI 48377-1600
(877) 906-9699
Mailing address
39465 W 14 MILE RD, NOVI, MI 48377-1600
(877) 906-9699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704273975
MI
363L00000X
Nurse Practitioner
Primary
4704273975
MI
Other
Enumeration date
03/14/2020
Last updated
04/07/2023
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