Individual
JENNIFER MAGLIULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704380868
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704380868
MI
363LG0600X
Gerontology Nurse Practitioner
4704380868
MI
Other
Enumeration date
03/04/2022
Last updated
09/24/2025
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