Individual
MRS. CAROL A DELADURANTEY-TROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-3000
Mailing address
517 E. 12 MILE RD., ROYAL OAK, MI 48073
(248) 571-5481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704291783
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704291783
MI
Other
Enumeration date
05/09/2017
Last updated
12/07/2017
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