Individual
MRS. IZABELLA EDYTA MICHALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
37654 MYRNA ST, LIVONIA, MI 48154-1419
(313) 433-1514
Mailing address
37654 MYRNA ST, LIVONIA, MI 48154-1419
(313) 433-1514
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704321833
MI
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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