Individual
MALARIE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
43097 WOODWARD AVE STE 101, BLOOMFIELD HILLS, MI 48302-5042
(248) 287-7825
Mailing address
43097 WOODWARD AVE STE 101, BLOOMFIELD HILLS, MI 48302-5042
(248) 287-7825
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024086888
MI
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2024086888
MI
Other
Enumeration date
01/23/2025
Last updated
04/09/2026
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