Organization
NURSING PRACTICE CORPORATION
Active
Other names
Taylor Street Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA SMITH (CHIEF NURSING OFFICER)
(313) 577-5118
Entity
Organization
Contact information
Practice address
1550 TAYLOR ST, DETROIT, MI 48206-2081
(313) 577-5041
Mailing address
5285 ANTHONY WAYNE DR, DETROIT, MI 48202-3947
(313) 577-5041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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