Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 4704195173 | MI |
NPI | 1033659644 |
---|---|
Provider Name | Anne Zamler |
First Address | Commerce Township, MI 48390-3237 |
Second Address | Detroit, MI 48235-3912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2017 |
Last Update Date | 01/03/2017 |