Individual
DAWN RENEE' WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2097
(313) 745-8040
Mailing address
3990 JOHN R ST, DETROIT, MI 48201-2097
(313) 745-8040
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704187297
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704187297
LICENSE
MI
Enumeration date
12/09/2020
Last updated
01/14/2026
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