Individual
MRS. BETHANY DALESSANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6000
Mailing address
3314 RAYMOND AVE, DEARBORN, MI 48124-4384
(313) 492-6600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704250292
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704250292
MI
Other
Enumeration date
04/28/2018
Last updated
01/24/2019
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