Individual
MS. KATHLEEN AGNES EMRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN,BC,N.P
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
(313) 831-2604
Mailing address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 831-3160
(313) 831-2604
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704080902
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
4704080902
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4754509
—
MI
Enumeration date
10/04/2007
Last updated
10/24/2007
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