Individual
WENDY LYNN CARRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
25380 NOBLE DR, CHESTERFIELD, MI 48051-3260
(586) 201-8607
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704212817
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704212817
MI
Other
Enumeration date
04/11/2012
Last updated
11/16/2022
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