Healthcare Provider Details

I. General information

NPI: 1659284669
Provider Name (Legal Business Name): CHANELL ARMSTEAD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24435 PLYMOUTH RD
REDFORD MI
48239-1616
US

IV. Provider business mailing address

25440 CATALINA ST
SOUTHFIELD MI
48075-1791
US

V. Phone/Fax

Practice location:
  • Phone: 313-450-0400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704407374
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: