Individual
MRS. SIMONE WAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1525 W CARO RD, CARO, MI 48723-9686
(989) 672-2100
Mailing address
1525 W CARO RD, CARO, MI 48723-9686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2211065406
MI
Other
Enumeration date
01/21/2022
Last updated
04/18/2022
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