Individual
MRS. LEAH ASHLEY NIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(800) 527-6266
Mailing address
8743 SHELBY WOODS DR, SHELBY TOWNSHIP, MI 48317-2552
(248) 342-9314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704288084
MI
Other
Enumeration date
02/26/2017
Last updated
02/26/2017
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