Healthcare Provider Details

I. General information

NPI: 1427914027
Provider Name (Legal Business Name): FAITH PASLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7045 CARSON DR
ROMULUS MI
48174-5018
US

IV. Provider business mailing address

7045 CARSON DR
ROMULUS MI
48174-5018
US

V. Phone/Fax

Practice location:
  • Phone: 947-279-8918
  • Fax:
Mailing address:
  • Phone: 947-279-8918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number4704412078
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: