Individual
MS. MELISSA DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
(734) 845-5426
Mailing address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704244497
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704244497
MI
Other
Enumeration date
07/21/2010
Last updated
05/13/2013
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