Individual
CATHERINE MACCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
110 N 4TH AVE, ANN ARBOR, MI 48104-5503
(734) 544-3050
(734) 544-6732
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3050
(734) 544-6732
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704301765
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704301765
MI
Other
Enumeration date
11/04/2013
Last updated
12/16/2020
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