Individual
MAKENNA DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 S MAPLE RD, ANN ARBOR, MI 48103-3833
(734) 794-3494
Mailing address
310 S MAPLE RD, ANN ARBOR, MI 48103-3833
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704427244
MI
Other
Enumeration date
06/05/2025
Last updated
06/09/2025
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