Individual
RACHEL NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1000
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704223084
MI
363LG0600X
Gerontology Nurse Practitioner
4704223084
MI
Other
Enumeration date
07/19/2018
Last updated
09/22/2025
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