Individual
AGNES BEATA PILECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
Mailing address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704330800
MI
363LG0600X
Gerontology Nurse Practitioner
9630327
FL
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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