Individual provider · Type 1 NPI
Christine Ghattas
Family Nurse Practitioner · Royal Oak, MI
NPI number
1063004695
Active
Practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
1134 Woodslee Dr
Troy, MI 48083-6602
Other practice locations
- 1134 Woodslee Dr, Troy, MI 48083-6602 · (832) 875-7306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704336745 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704336745 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1063004695
Christine Ghattas's National Provider Identifier is 1063004695, issued on Feb 4, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Royal Oak, MI. The record was last updated on Sep 30, 2021.