Individual
THEA ROSE SENGER-CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2095 PACKARD RD, YPSILANTI, MI 48197-1833
(734) 221-1007
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
723823
NY
363L00000X
Nurse Practitioner
Primary
4704348100
MI
363LP0200X
Pediatric Nurse Practitioner
26NJ00875000
NJ
363LP0200X
Pediatric Nurse Practitioner
382869
NY
Other
Enumeration date
06/25/2018
Last updated
05/09/2023
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