Individual
SHARESE BARBARA BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
33259 DEQUINDRE RD STE C, TROY, MI 48083-4628
(248) 588-1885
Mailing address
33259 DEQUINDRE RD STE C, TROY, MI 48083-4628
(248) 588-1885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704312111
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704312111
REGISTERED NURSE AND NURSE PRACTITIONER SPECIALTY CERTIFICATION
MI
Enumeration date
11/06/2019
Last updated
01/09/2020
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