Individual
DELANI RAE MWATHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
29777 TELEGRAPH RD, SOUTHFIELD, MI 48034-1303
(734) 262-4835
Mailing address
7218 CHEROKEE ST, TAYLOR, MI 48180-1565
(734) 262-4835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704260577
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
AG06240030
MI
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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