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Individual

MRS. CATHERINE THERESE ENSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGNP-C, PMHNP-BC

Contact information

Practice address
4800 S SAGINAW ST STE 1900, FLINT, MI 48507-2677
(586) 484-8699
Mailing address
50721 PINNACLE WOODS LN, MACOMB, MI 48042-5535
(586) 484-8699

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704196169
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704196169
MI

Other

Enumeration date
07/24/2020
Last updated
07/27/2022
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