Individual
PROF. NANCY MARIE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD,FNP-BC
Contact information
Practice address
33030 VAN BORN RD, WAYNE, MI 48184-2453
(734) 858-1940
Mailing address
9021 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3726
(313) 871-1926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704172835
MI
363LF0000X
Family Nurse Practitioner
Primary
4704172835
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086437
BCBS
MI
05
—
42Q3603
—
MI
01
—
50-5-86-6437-0
BCBS
MI
01
—
5000012935
RAILROAD
MI
Enumeration date
12/14/2006
Last updated
12/06/2024
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