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Charlene Walton Windham
Gerontology Nurse Practitioner in Southfield, Michigan
NPI 1518336080

Charlene Walton Windham is a Gerontology Nurse Practitioner based in Southfield, MI and is specialized in Gerontology. Charlene Walton Windham practices in Southfield, MI. The NPI Number for Charlene Walton Windham is 1518336080 and holds a License No. 4704210421 (Michigan).

The current practice location address for Charlene Walton Windham is 17515 W 9 Mile Rd, Southfield, MI and can be reached out via phone at 248-559-0950.

Location: 17515 W 9 Mile Rd, Southfield, MI, 48075-4403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518336080
Provider Name
Charlene Walton Windham
Credential
Provider Entity Type
Individual
Gender
Female
Address
17515 W 9 Mile Rd, Southfield, MI, 48075-4403
Phone Number
248-559-0950
Fax Number
Provider Enumeration Date
09/15/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
17515 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4403
Phone Number
248-559-0950
Fax Number
person
Provider Business Mailing Address Details
Address
17515 W 9 Mile Rd
City
Southfield
State
Michigan
Zip
48075-4403
Phone Number
248-559-0950
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
4704210421 (Michigan)
Definition
Definition to come...
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