Individual
NORA MIRIAM KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1014 DEER VLY, MANCHESTER, MI 48158-9482
(586) 383-7790
Mailing address
1014 DEER VLY, MANCHESTER, MI 48158-9482
(586) 383-7790
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704348967
MI
363LA2200X
Adult Health Nurse Practitioner
Primary
4704348967
MI
363LG0600X
Gerontology Nurse Practitioner
4704348967
MI
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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