Individual
JENNIFER ANNE LARADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
16001 WEST NINE MILE ROAD, 3RD FLOOR FISHER BUILDING, SOUTHFIELD, MI 48075
(248) 849-2600
(248) 849-2610
Mailing address
225 CHERRYLAND ST, AUBURN HILLS, MI 48326-3350
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704234335
MI
363LG0600X
Gerontology Nurse Practitioner
4704234335
MI
Other
Enumeration date
11/30/2017
Last updated
10/18/2019
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