Individual
KAREN M BIRT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(180) 052-7626
(313) 576-8381
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(800) 527-6266
(313) 576-8381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704201315
MI
363LA2200X
Adult Health Nurse Practitioner
4704201315
MI
Other
Enumeration date
07/07/2007
Last updated
10/14/2016
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