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Diane Amir Mansour, AGNP
Adult Health Nurse Practitioner in Waterford, Michigan
NPI 1710589429

Diane Amir Mansour is an Adult Health Nurse Practitioner based in Clarkston, MI and is specialized in Adult Health. Diane Amir Mansour practices in Waterford, MI and has the professional credentials of AGNP. The NPI Number for Diane Amir Mansour is 1710589429 and holds a License No. 4704304113 (Michigan).

The current practice location address for Diane Amir Mansour is 5220 Highland Rd Ste 240, Waterford, MI and can be reached out via phone at 248-237-6580.

Location: 5220 Highland Rd Ste 240, Waterford, MI, 48346-4815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710589429
Provider Name
Diane Amir Mansour
Credential
AGNP
Provider Entity Type
Individual
Gender
Female
Address
5220 Highland Rd Ste 240, Waterford, MI, 48346-4815
Phone Number
248-237-6580
Fax Number
Provider Enumeration Date
11/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5220 Highland Rd Ste 240
City
Waterford
State
Michigan
Zip
48327-1973
Phone Number
248-237-6580
Fax Number
person
Provider Business Mailing Address Details
Address
5220 Highland Rd Ste 240
City
Waterford
State
Michigan
Zip
48327-1973
Phone Number
248-237-6580
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
4704304113 (Michigan)
Definition
Definition to come...
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