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Ms. Melissa Susan Boothroyd, PNP
Pediatric Nurse Practitioner in Warren, Michigan
NPI 1649356551

Melissa Susan Boothroyd is a Pediatric Nurse Practitioner based in Farmington Hills, MI and is specialized in Pediatrics. Melissa Susan Boothroyd practices in Warren, MI and has the professional credentials of PNP. The NPI Number for Melissa Susan Boothroyd is 1649356551 and holds a License No. 4704121618 (Michigan).

The current practice location address for Melissa Susan Boothroyd is 23200 Ryan Rd, Warren, MI and can be reached out via phone at 586-759-9070.

Location: 23200 Ryan Rd, Warren, MI, 48331-2715
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649356551
Provider Name
Melissa Susan Boothroyd
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
23200 Ryan Rd, Warren, MI, 48331-2715
Phone Number
586-759-9070
Fax Number
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4667898 05 MI
institution
Provider Business Practice Location Address Details
Address
23200 Ryan Rd
City
Warren
State
Michigan
Zip
48091-4551
Phone Number
586-759-9070
Fax Number
person
Provider Business Mailing Address Details
Address
23200 Ryan Rd
City
Warren
State
Michigan
Zip
48091-4551
Phone Number
586-759-9070
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
4704121618 (Michigan)
Definition
Definition to come...
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