Individual provider · Type 1 NPI
Charmaine Adegeye
Psychiatric/Mental Health Nurse Practitioner · Southfield, MI
NPI number
1003393695
Active
Practice location
25240 Lahser Rd Ste 2
Southfield, MI 48033-2751
Fax (734) 725-6746
Mailing address
45443 Parkdale Dr
Canton, MI 48188-2437
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704240600 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704240600 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1003393695
Charmaine Adegeye's National Provider Identifier is 1003393695, issued on Jul 26, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southfield, MI. The record was last updated on Nov 16, 2023.