Individual
CAROLINE ELENA SULICH-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
11900 E 12 MILE RD STE 201, WARREN, MI 48093-3490
(586) 574-2800
Mailing address
692 W LINCOLN ST, BIRMINGHAM, MI 48009-1964
(248) 914-2584
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704361059
MI
Other
Enumeration date
09/06/2023
Last updated
07/24/2024
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