Individual
MRS. CAROLYN FORBES WALBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,CPNP
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR MOTT HOSPITAL RM 3840, ANN ARBOR, MI 48109-5245
(734) 763-8063
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704136090
MI
363LP0200X
Pediatric Nurse Practitioner
4704136090
MI
Other
Enumeration date
11/01/2006
Last updated
11/25/2008
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