Individual
CHIBWE CAROLINE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-5806
(248) 849-5489
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-5700
(810) 342-5545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704290463
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704290463
MI
Other
Enumeration date
07/10/2019
Last updated
04/20/2022
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