Individual
KATTERINNE HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5635 W FORT ST, DETROIT, MI 48209-3154
(313) 849-3920
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704319910
MI
363LF0000X
Family Nurse Practitioner
Primary
4704319910
MI
Other
Enumeration date
04/18/2022
Last updated
10/27/2022
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