Individual
MRS. CHERYL MOELLER FURLONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC-NIC, MSN, NNP-BC
Contact information
Practice address
36475 FIVE MILE RD, LIVONIA, MI 48154-1971
(734) 655-1183
Mailing address
40702 CRABTREE LN, PLYMOUTH, MI 48170-2742
(734) 420-3090
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704119019
MI
363LN0005X
Critical Care Neonatal Nurse Practitioner
4704119019
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851340673
—
MI
Enumeration date
05/09/2006
Last updated
04/28/2015
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