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Mrs. Bethany Anne Musallam, CPNP-PC
Pediatric Nurse Practitioner in Shelby Township, Michigan
NPI 1295912624

Bethany Anne Musallam is a Pediatric Nurse Practitioner based in Shelby Twp, MI and is specialized in Pediatrics. Bethany Anne Musallam practices in Shelby Township, MI and has the professional credentials of CPNP-PC. The NPI Number for Bethany Anne Musallam is 1295912624 and holds a License No. 4704244961 (Michigan).

The current practice location address for Bethany Anne Musallam is 15125 22 Mile Rd., Shelby Township, MI and can be reached out via phone at 586-532-0599 and via fax at 586-566-8967.

Location: 15125 22 Mile Rd., Shelby Township, MI, 48315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295912624
Provider Name
Bethany Anne Musallam
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
15125 22 Mile Rd., Shelby Township, MI, 48315
Phone Number
586-532-0599
Fax Number
586-566-8967
Provider Enumeration Date
01/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15125 22 Mile Rd.
City
Shelby Township
State
Michigan
Zip
48315
Phone Number
586-532-0599
Fax Number
586-566-8967
person
Provider Business Mailing Address Details
Address
15125 22 Mile Rd.
City
Shelby Township
State
Michigan
Zip
48315
Phone Number
586-532-0599
Fax Number
586-566-8967
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704244961 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704244961 (Michigan)
Definition
Definition to come...
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