Organization
INNER PIECE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA GOEDERT PMHNP-BC (OWNER)
(810) 610-8494
Entity
Organization
Contact information
Practice address
5735 SWAN LAKE DR, WEST BLOOMFIELD, MI 48322-1769
(810) 610-8494
(313) 528-4841
Mailing address
5735 SWAN LAKE DR, WEST BLOOMFIELD, MI 48322-1769
(810) 610-8494
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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