Individual provider · Type 1 NPI
Marla Gresham
Adult Psychiatric/Mental Health Registered Nurse · Detroit, MI
NPI number
1144957101
Active
Practice location
4646 John R St
Detroit, MI 48201-1916
Mailing address
18444 Middlesex Ave
Lathrup Village, MI 48076-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 4704186857 (MI) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1144957101
Marla Gresham's National Provider Identifier is 1144957101, issued on Aug 1, 2022. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Detroit, MI. The record was last updated on Aug 1, 2022.