Individual
MRS. PAULA ANN WITTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(734) 464-0887
(734) 402-0254
Mailing address
36115 SCHOOLCRAFT RD, LIVONIA, MI 48150-1216
(734) 464-0887
(734) 402-0254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704237734
MI
363LF0000X
Family Nurse Practitioner
4704237734
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12455022
CAQH
MI
Enumeration date
07/31/2012
Last updated
07/31/2014
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