Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704247330 | MI |
N | 363L00000X | Nurse Practitioner | 5009462 | NC |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 4704247330 | MI |
NPI | 1023441565 |
---|---|
Provider Name | Mrs. Soni Anil |
First Address | Farmington Hills, MI 48335-1146 |
Second Address | Farmington Hills, MI 48335-1146 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2013 |
Last Update Date | 17/03/2018 |