Individual
THERESA ANN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
221 S MAIN ST, ROYAL OAK, MI 48067
(248) 398-6459
(248) 629-1432
Mailing address
221 S MAIN ST, ROYAL OAK, MI 48067-2653
(248) 398-6459
(248) 629-1432
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F11180650
MI
363LF0000X
Family Nurse Practitioner
F11180650
MI
363LP2300X
Primary Care Nurse Practitioner
F11180650
MI
Other
Enumeration date
01/18/2019
Last updated
02/07/2019
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