Individual
KAITLIN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CPNP-PC
Contact information
Practice address
23608 GLENBROOK ST, SAINT CLAIR SHORES, MI 48082-2501
(586) 601-8522
Mailing address
23608 GLENBROOK ST, SAINT CLAIR SHORES, MI 48082-2501
(586) 601-8522
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704325568
MI
Other
Enumeration date
05/11/2022
Last updated
04/25/2023
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