Individual
MS. RANDI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22101 MOROSS RD STE 212, DETROIT, MI 48236-2148
(313) 343-4921
(313) 343-7091
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 642-9048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704291656
MI
Other
Enumeration date
03/23/2019
Last updated
08/16/2024
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