Individual
AUDREY LOUISE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN FNP-BC
Contact information
Practice address
26677 W 12 MILE RD STE 166, SOUTHFIELD, MI 48034-1514
(313) 306-2023
Mailing address
409 DEER VALLEY RD, HOLLY, MI 48442-1561
(248) 894-2825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704225111
MI
Other
Enumeration date
09/27/2017
Last updated
10/18/2022
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