Individual
ANNE MARIE FANO AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
44725 GRAND RIVER AVE STE 104, NOVI, MI 48375-1024
(517) 882-3732
(517) 882-3633
Mailing address
44725 GRAND RIVER AVE STE 104, NOVI, MI 48375-1024
(517) 882-3732
(517) 882-3633
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704274016
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704274016
MI
Other
Enumeration date
05/12/2015
Last updated
09/25/2023
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