MISS Katie Lenore Clancy, RN

NPI #1689258949 in Waterford, Michigan

Provider Information

NPI Number: 1689258949
Entity Type: Individual
Name: MISS Katie Lenore Clancy, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: May 11, 2021
Last Updated: May 11, 2021

Practice Location

Address: 4350 DIXIE HWY
City: Waterford
State: Michigan
ZIP Code: 48329-3506
Phone: (248) 674-0466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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