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Mrs. Andrea Constance Douglas, FNP
Family Nurse Practitioner in Wixom, Michigan
NPI 1780344226

Andrea Constance Douglas is a Family Nurse Practitioner based in Wixom, MI and is specialized in Family. Andrea Constance Douglas practices in Wixom, MI and has the professional credentials of FNP. The NPI Number for Andrea Constance Douglas is 1780344226 and holds a License No. 2021117524 (Michigan).

The current practice location address for Andrea Constance Douglas is 100 Meadows Cir S, Wixom, MI and can be reached out via phone at 947-800-6017.

Location: 100 Meadows Cir S, Wixom, MI, 48393-3950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780344226
Provider Name
Andrea Constance Douglas
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
100 Meadows Cir S, Wixom, MI, 48393-3950
Phone Number
947-800-6017
Fax Number
Provider Enumeration Date
12/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Meadows Cir S
City
Wixom
State
Michigan
Zip
48393-3950
Phone Number
947-800-6017
Fax Number
person
Provider Business Mailing Address Details
Address
100 Meadows Cir S
City
Wixom
State
Michigan
Zip
48393-3950
Phone Number
947-800-6017
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2021117524 (Michigan)
Definition
Definition to come...
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