Individual
MANSI SHARADKUMAR MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 S MAIN ST, PLYMOUTH, MI 48170-2089
(734) 454-3560
(832) 324-6751
Mailing address
37875 W 12 MILE RD STE 208, FARMINGTON HILLS, MI 48331-3053
(734) 251-2662
(832) 324-6751
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
4704327956
MI
363LF0000X
Family Nurse Practitioner
APRN.CNP.021452
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704327956
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN.CNP.021452
OH
Other
Enumeration date
08/29/2017
Last updated
12/12/2024
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