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Beverly Datilus, FNP
Family Nurse Practitioner in Troy, Michigan
NPI 1306534557

Beverly Datilus is a Family Nurse Practitioner based in Troy, MI and is specialized in Family. Beverly Datilus practices in Troy, MI and has the professional credentials of FNP. The NPI Number for Beverly Datilus is 1306534557 and holds a License No. 26NJ01307000 (Michigan).

The current practice location address for Beverly Datilus is 500 Kirts Blvd Ste 200, Troy, MI and can be reached out via phone at 973-441-3225.

Location: 500 Kirts Blvd Ste 200, Troy, MI, 48084-4140
person
Provider Profile Details
NPI Number
1306534557
Provider Name
Beverly Datilus
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
500 Kirts Blvd Ste 200, Troy, MI, 48084-4140
Phone Number
973-441-3225
Fax Number
Provider Enumeration Date
04/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Kirts Blvd Ste 200
City
State
Zip
48084-4140
Phone Number
973-441-3225
Fax Number
person
Provider Business Mailing Address Details
Address
500 Kirts Blvd Ste 200
City
State
Zip
48084-4140
Phone Number
973-441-3225
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
26NJ01307000 (New Jersey)
Definition
Definition to come...
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