Individual
KELLY MICHELLE ASHCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGCNS-BC
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8875
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
364SE0003X
Emergency Clinical Nurse Specialist
Primary
4704230909
MI
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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