Individual
MS. PAMELA DIANA CEO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
APRN,BC
Contact information
Practice address
5301 EAST HURON RIVER DR, ANN ARBOR, MI 48106-0995
(734) 712-3655
(734) 712-2037
Mailing address
426 AMHERST CIR, SALINE, MI 48176-1366
(734) 429-1208
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704163341
MI
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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