Individual
RENITA JON ELDER-ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
22990 KING RD, BROWNSTOWN TWP, MI 48183-1025
(248) 910-1814
Mailing address
34564 BLACKFOOT ST, WESTLAND, MI 48185-2725
(248) 910-1814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704235476
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704235476
MI
Other
Enumeration date
02/22/2019
Last updated
03/18/2021
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