Individual
MR. ANTHONY DAVID DILORETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP, RN
Contact information
Practice address
4576 W WALTON BLVD, WATERFORD, MI 48329-4905
(248) 618-3920
Mailing address
4576 W WALTON BLVD, WATERFORD, MI 48329-4905
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704267277
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704277277
MI
Other
Enumeration date
12/26/2012
Last updated
08/31/2023
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