Individual provider · Type 1 NPI
Melissa Susan Boothroyd, PNP
Pediatric Nurse Practitioner · Warren, MI
NPI number
1649356551
Active
Practice location
23200 Ryan Rd, Fitzgerald Health Center
Warren, MI 48091-4551
Mailing address
29085 Oak Point Dr
Farmington Hills, MI 48331-2715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704121618 (MI) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
Other pediatric nurse practitioner providers in Warren
About NPI 1649356551
Melissa Susan Boothroyd, PNP's National Provider Identifier is 1649356551, issued on Oct 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Warren, MI. The record was last updated on Jul 8, 2007.