Individual
MRS. LAYNETTE GOUDY-EGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
29556 SOUTHFIELD RD, SUITE 200, SOUTHFIELD, MI 48076-2021
(248) 423-1550
(248) 423-1552
Mailing address
2990 W GRAND BLVD, STE 307, DETROIT, MI 48202-3081
(248) 423-1550
(248) 423-1552
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704114991
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4654399
—
MI
01
—
5008604330
BCBS
MI
01
—
P00218409
MEDICARE RAILROAD
MI
Enumeration date
08/17/2005
Last updated
01/10/2017
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