Individual
BEVERLY JEANETTE ST. AMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 SAINT PAUL ST, TRENTON, MI 48183-3631
(734) 642-6331
Mailing address
3520 SAINT PAUL ST, TRENTON, MI 48183-3631
(734) 642-6331
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
S535085385072
MI
363LA2100X
Acute Care Nurse Practitioner
S535085385072
MI
Other
Enumeration date
05/07/2021
Last updated
10/04/2021
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