Individual
WENDI SANTAVICCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
44250 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1002
(855) 863-8761
(248) 964-8517
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704219447
MI
Other
Enumeration date
07/12/2016
Last updated
07/20/2022
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