Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 4704220813 | MI |
NPI | 1023387883 |
---|---|
Provider Name | Ann Catherine Paton |
First Address | Troy, MI 48084-1744 |
Second Address | Royal Oak, MI 48073-6712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2011 |
Last Update Date | 27/02/2017 |