Individual
VANITA SUZANNI ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
15474 N HAGGERTY RD, PLYMOUTH, MI 48170-4893
(734) 335-6103
(734) 404-5317
Mailing address
1234 MEADOWBROOK ST, 1234 MEADOWBROOK, DETROIT, MI 48214-3620
(313) 821-0667
(313) 821-5727
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704242745
MI
Other
Enumeration date
06/15/2014
Last updated
06/20/2014
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