Individual provider · Type 1 NPI
Bethany Anne Musallam, CPNP-PC
Pediatric Nurse Practitioner · Shelby Township, MI
NPI number
1295912624
Active
Practice location
15125 22 Mile Rd., Shelby Pediatrics
Shelby Township, MI 48315
Fax (586) 566-8967
Other practice locations
- 44201 Dequindre Rd Ste Ec, Troy, MI 48085-1117 · (248) 964-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704244961 (MI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704244961 (MI) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Shelby Township
- Jessica Marie McCarthy, C.R.N.P.Pediatric Nurse Practitioner Shelby Township, MI NPI 1144550922
- Saline Elizabeth ChoulaghPediatric Nurse Practitioner Shelby Township, MI NPI 1669339883
- Jaclyn LostyPediatric Nurse Practitioner Shelby Township, MI NPI 1669993168
- Carolynn Gabriel Huyghe, CPNPPediatric Nurse Practitioner Shelby Township, MI NPI 1720419195
- Dana Marie KopaczPediatric Nurse Practitioner Shelby Township, MI NPI 1942847116
About NPI 1295912624
Bethany Anne Musallam, CPNP-PC's National Provider Identifier is 1295912624, issued on Jan 29, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Shelby Township, MI. The record was last updated on Jul 29, 2022.