Individual
BEVERLY LOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3000
Mailing address
4201 ST ANTOINE DEPT OF PSYCHIATRY, DETROIT, MI 48201
(313) 966-0303
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704127463
MI
Other
Enumeration date
03/29/2007
Last updated
07/08/2007
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