Individual
MRS. MELISSA ANN MORTON-PASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3370 E JEFFERSON AVE, DETROIT, MI 48207-4236
(313) 656-1600
(313) 656-1610
Mailing address
14183 DEERING ST, LIVONIA, MI 48154-4617
(248) 444-8869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704230148
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704230148
MI
363LP2300X
Primary Care Nurse Practitioner
4704230148
MI
Other
Enumeration date
10/25/2006
Last updated
03/12/2021
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