Individual provider · Type 1 NPI

Theresa Mary Husby

Gerontology Nurse Practitioner · Wyandotte, MI

NPI number 1871032557 Active

Practice location

2070 Biddle Ave
Wyandotte, MI 48192-4080

Fax (734) 671-1038

Mailing address

23050 West Rd Ste 130
Brownstown Township, MI 48183-1473

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704272418 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1871032557

Theresa Mary Husby's National Provider Identifier is 1871032557, issued on Feb 15, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Wyandotte, MI. The record was last updated on Mar 15, 2021.