Individual
MS. LEAH RENE FLANIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
44300 5 MILE RD, NORTHVILLE, MI 48168-9504
(738) 416-1883
Mailing address
44300 5 MILE RD, NORTHVILLE, MI 48168-9504
(738) 416-1883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704218648
MI
363LF0000X
Family Nurse Practitioner
Primary
4704218648
MI
Other
Enumeration date
06/29/2017
Last updated
02/21/2023
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