Individual
RITA H MCNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26811 RYAN RD, WARREN, MI 48091-4075
(586) 755-4433
(586) 755-6655
Mailing address
26811 RYAN RD, WARREN, MI 48091-4075
(586) 755-4433
(586) 755-6655
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704063433
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704063433
LICENSE
MI
Enumeration date
09/15/2006
Last updated
07/08/2007
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