Individual
MIRIAM EZEIKPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
428 S GROVE ST, YPSILANTI, MI 48198-5782
(734) 483-7136
Mailing address
4515 CONNOR CT, YPSILANTI, MI 48197-9229
(734) 635-2326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704311982
MI
Other
Enumeration date
04/17/2023
Last updated
09/13/2024
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