Healthcare Provider Details

I. General information

NPI: 1700525771
Provider Name (Legal Business Name): CARLA ANGEL CURTIS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2022
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 KIRTS BLVD STE 100
TROY MI
48084-4135
US

IV. Provider business mailing address

PO BOX 40412
BELFAST ME
04915-1255
US

V. Phone/Fax

Practice location:
  • Phone: 248-824-6500
  • Fax:
Mailing address:
  • Phone: 248-824-6500
  • Fax: 855-618-6655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number4704308924
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704308924
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: