Nystrom, Heather Evelyn

Nystrom, Heather Evelyn is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Nystrom, Heather Evelyn can be contacted via phone (313) 916-0467.

Contact Information

Primary practice address
2799 W Grand Blvd Detroit MI 48202-2608
Phone: (313) 916-0467
Fax: (313) 916-9485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 4704203209 Michigan

Profile Details

NPI number 1649508854
LBN Legal business name Nystrom, Heather Evelyn
Credentials NNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2009
Last updated Nov 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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