Individual
OBIAGELI CHRISTIANA EZEANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6481 ROYAL POINTE DR, WEST BLOOMFIELD, MI 48322-2057
(313) 729-3970
Mailing address
6481 ROYAL POINTE DR, WEST BLOOMFIELD, MI 48322-2057
(313) 729-3970
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704233690
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704233690
FAMILY NURSE PRACTITIONER/ REGISTERED NURSE
MI
Enumeration date
01/22/2019
Last updated
01/22/2019
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