Individual
MELANIE KEIFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
46600 RED OAK DR, NORTHVILLE, MI 48168-1862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704127190
MI
207R00000X
Internal Medicine Physician
101-0134534
VT
363LA2200X
Adult Health Nurse Practitioner
101.0134534
VT
363LA2200X
Adult Health Nurse Practitioner
4704127190
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9492318
FL
Other
Enumeration date
01/09/2008
Last updated
06/17/2020
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