Individual
KATHERINE CONOR AQUILINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 MACK AVE, DETROIT, MI 48201-2136
(313) 448-9600
(313) 448-9978
Mailing address
607 GOLF AVE, ROYAL OAK, MI 48073-3619
(248) 565-5283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704298944
MI
Other
Enumeration date
06/06/2023
Last updated
11/28/2023
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