Individual
DULCE IVETH VARGAS AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
15400 W MCNICHOLS RD, DETROIT, MI 48235-3724
(313) 835-5990
(313) 835-5920
Mailing address
100 RIVER PLACE DR STE 450, DETROIT, MI 48207-5402
(313) 835-5990
(313) 835-5920
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
1073544
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
4704422777
MI
Other
Enumeration date
06/17/2022
Last updated
03/21/2025
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