Individual
SCOTT ALAN KRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1 FORD PL STE 1E, DETROIT, MI 48202-3450
(800) 653-6568
Mailing address
1 FORD PL STE 1E, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
232406
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704401205
MI
372600000X
Adult Companion
—
—
Other
Enumeration date
08/24/2010
Last updated
10/18/2024
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