Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 4704200940 | MI |
NPI | 1134316789 |
---|---|
Provider Name | Mrs. Danielle Marie Belz |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2007 |
Last Update Date | 04/10/2012 |