Individual
CHELSEA MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
(734) 981-3968
Mailing address
39350 9 MILE RD, NORTHVILLE, MI 48167-9164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704318851
MI
363LF0000X
Family Nurse Practitioner
Primary
4704318851
MI
Other
Enumeration date
02/17/2021
Last updated
06/04/2024
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