Individual
LAURA M MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
54597 COVENTRY LN, SHELBY TOWNSHIP, MI 48315-1621
(586) 382-0081
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
4704292809
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
4704292809
MI
Other
Enumeration date
10/13/2017
Last updated
03/28/2024
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