MEDICARE: CAROLYN MARIE DEMETRIOU RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	4704172631	MI

General Provider Information

NPI Number	:	1033732672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLYN MARIE DEMETRIOU RN

Provider Business Mailing Address
First Line	:	261 FRANKLIN ST
Second Line	:
City	:	HOLLY
State	:	MI
Zip	:	48442-8576
Country	:	US
Telephone Number	:	734-223-9990
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 TOWNE SQ
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-3769
Country	:	US
Telephone Number	:	313-208-7376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2020
Last Update Date	:	05/18/2020

Similar Medicare Providers

1023631660 — CARL NDANGOH PHARM D
Practice Location Address:

2 TOWNE SQ
SOUTHFIELD, MI
48076-3769

Practice Phone: 313-208-7376
Practice Fax:

1801450085 — LANA COXTON NUTRITION LLC
Practice Location Address:

23077 GREENFIELD RD STE 479
SOUTHFIELD, MI
48075-3769

Practice Phone: 313-318-7612
Practice Fax:

1730911199 — CHERRY HILL PSYCHOLOGICAL SERVICES, LLC
Practice Location Address:

29532 SOUTHFIELD RD STE 115
SOUTHFIELD, MI
48076-2023

Practice Phone: 810-334-9594
Practice Fax:

1477412179 — MARETTA DEWITT
Practice Location Address:

28475 GREENFIELD RD STE 113
SOUTHFIELD, MI
48076-3034

Practice Phone: 248-470-7287
Practice Fax:

1528927167 — KIRSTEN HALE
Practice Location Address:

20411 W 12 MILE RD STE 101
SOUTHFIELD, MI
48076-6404

Practice Phone: 866-703-1901
Practice Fax:

1396604955 — SHEKINAH IMAN HALE
Practice Location Address:

20700 CIVIC CENTER DR STE 110
SOUTHFIELD, MI
48076-4102

Practice Phone: 800-385-1035
Practice Fax:

Directions to “ CAROLYN MARIE DEMETRIOU RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.