Individual provider · Type 1 NPI

Beverly Datilus, FNP

Family Nurse Practitioner · Troy, MI

NPI number 1306534557 Active

Practice location

500 Kirts Blvd Ste 200
Troy, MI 48084-4140

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ01307000 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1306534557

Beverly Datilus, FNP's National Provider Identifier is 1306534557, issued on Apr 26, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Troy, MI. The record was last updated on Apr 26, 2023.