Individual
TAKESHA ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
20082 OLYMPIA, REDFORD, MI 48240-1027
(313) 478-0639
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704285733
MI
364SA2200X
Adult Health Clinical Nurse Specialist
4704285733
MI
Other
Enumeration date
04/25/2015
Last updated
04/27/2022
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