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Individual

DANIELLE BRIANNA-DOUTHAT DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, FNP-BC

Contact information

Practice address
210 LITTLE LAKE DR STE 10, ANN ARBOR, MI 48103-6218
(734) 332-9936
(206) 666-2989
Mailing address
210 LITTLE LAKE DR STE 10, ANN ARBOR, MI 48103-6218
(734) 332-9936
(206) 666-2989

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704292408
MI
367A00000X
Advanced Practice Midwife
Primary
4704292408
MI

Other

Enumeration date
06/10/2016
Last updated
03/19/2019
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