Individual
SITA DEVI GADDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 717-8664
Mailing address
47534 VALENCIA CIR, NOVI, MI 48374-3910
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704254921
MI
Other
Enumeration date
09/11/2015
Last updated
03/04/2021
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