Individual
THAI LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
4700 CRANE CT, YPSILANTI, MI 48197-9237
(734) 945-9553
Mailing address
4700 CRANE CT, YPSILANTI, MI 48197-9237
(734) 945-9553
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704277024
MI
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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