Individual
KIARA NUNNALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
2708 ADRIENNE DR, ANN ARBOR, MI 48103-4415
(314) 686-5868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704341282
MI
Other
Enumeration date
07/09/2021
Last updated
11/10/2022
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