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Individual

MRS. DANIELLE JEANETTE BOZAAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1500 E MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP G, ANN ARBOR, MI 48109-0338
(734) 936-7010
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704259433
MI
163WP0200X
Pediatric Registered Nurse
RN305345
OH
363L00000X
Nurse Practitioner
Primary
4704259433
MI
363LP0200X
Pediatric Nurse Practitioner
NP-08364
OH

Other

Enumeration date
05/23/2006
Last updated
02/22/2008
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