Individual provider · Type 1 NPI
Sandra K. Maceroni
Family Nurse Practitioner · Detroit, MI
NPI number
1861917296
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
13636 Viola Dr
Sterling Heights, MI 48312-4267
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704169390 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1861917296
Sandra K. Maceroni's National Provider Identifier is 1861917296, issued on Aug 7, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Detroit, MI. The record was last updated on Aug 7, 2017.