Individual
CHARLOTTE LOUISE ALLPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4250 PLYMOUTH RD, ANN ARBOR, MI 48109
(734) 764-6443
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704143958
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704143958
MI
Other
Enumeration date
06/05/2007
Last updated
12/18/2007
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