Healthcare Provider Details

I. General information

NPI: 1154067684
Provider Name (Legal Business Name): HANAN SETTO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 ROUND TREE DR
CHINA MI
48054-1434
US

IV. Provider business mailing address

3408 ROUND TREE DR
CHINA MI
48054-1434
US

V. Phone/Fax

Practice location:
  • Phone: 313-574-3105
  • Fax:
Mailing address:
  • Phone: 313-574-3105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number4704261805
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: