Individual
MS. MICHELLE DENISE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
17950 WOODWARD AVE, DETROIT, MI 48203-2260
(313) 753-8927
Mailing address
19321 SANT ROSA DR, DETROIT, MI 48221
(313) 753-8927
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
470424624
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704244624
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
MI
01
—
NA
NA
—
Enumeration date
02/09/2021
Last updated
05/03/2025
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