Individual
SHERYL JEAN MARENTETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
4646 JOHN R ST STE A3118, DETROIT, MI 48201-1916
(313) 576-1507
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1507
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704163547
MI
363LA2200X
Adult Health Nurse Practitioner
4704163547
MI
Other
Enumeration date
06/01/2006
Last updated
05/06/2019
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