Individual
MRS. MARCI LAVAUGHN SIMON-BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, WHNP-BC
Contact information
Practice address
3980 JOHN R ST, 2252, DETROIT, MI 48201-2018
(313) 966-2488
Mailing address
3980 JOHN R ST, 2252, DETROIT, MI 48201-2018
(313) 966-2488
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704196032
MI
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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