Individual
MRS. AIMEE DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP, AGPCNP-BC
Contact information
Practice address
880 W LONG LAKE RD # 600, TROY, MI 48098-4504
(888) 562-5442
(562) 276-4825
Mailing address
200 OCEANGATE, #100, LONG BEACH, CA 90802-4317
(562) 435-3666
(562) 276-4825
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704215131
MI
363LG0600X
Gerontology Nurse Practitioner
L556999
MI
363LP2300X
Primary Care Nurse Practitioner
L556999
MI
Other
Enumeration date
12/18/2014
Last updated
07/21/2022
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