Individual
MRS. ANDREA JOY GULISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, APRN-BC
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5448
Mailing address
38789 HAMPTON CT, HARRISON TOWNSHIP, MI 48045-2269
(586) 573-5448
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704216653
MI
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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