Individual
MRS. SHERI LYNN REVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2799 W GRAND BLVD, WP3 NICU, DETROIT, MI 48202-2608
(313) 916-0467
Mailing address
1680 ARGUS ST., LASALLE, ONTARIO N9J 3-G5
(519) 970-9223
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704186673
MI
Other
Enumeration date
02/23/2011
Last updated
01/17/2012
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