Individual
CARMELITE DALMACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Mailing address
36123 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704178863
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704178863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704178863
STATE LICENSE
MI
Enumeration date
04/28/2014
Last updated
04/14/2017
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