Individual
HEATHER AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25300 LAHSER RD, SOUTHFIELD, MI 48033-5868
(248) 354-3222
Mailing address
31224 SHORECREST DR, APT 26302, NOVI, MI 48377-1190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3932331
MI
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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