Individual
AMITA KAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP
Contact information
Practice address
29550 FIVE MILE RD, LIVONIA, MI 48154-3710
(734) 422-9340
Mailing address
2520 S TELEGRAPH RD, BLOOMFIELD HILLS, MI 48302-0285
(800) 395-3223
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
4704278836
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704278836
MI
Other
Enumeration date
05/12/2022
Last updated
03/21/2025
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