Individual
ANTANITA PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105
(734) 222-7867
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 845-2874
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704233822
MI
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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