Individual
KAITLYN R MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
Mailing address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
4704326753
MI
363LA2200X
Adult Health Nurse Practitioner
4704326753
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704326753
MI
Other
Enumeration date
04/19/2021
Last updated
03/14/2023
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