Individual
ASHLEY FAREN MALEPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
26850 PROVIDENCE PKWY STE 300, NOVI, MI 48374-1259
(248) 348-4200
Mailing address
9760 BIRMINGHAM DR, FENTON, MI 48430-8559
(989) 350-8989
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704312947
MI
Other
Enumeration date
09/11/2019
Last updated
11/02/2021
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