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NPI Code Detail

MEDICARE: CARMELLA SAAB RN

MEDICARE:   CARMELLA  SAAB  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
1163W00000XRegistered Nurse4704302923MI

General Provider Information

NPI Number : 1639560758
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMELLA SAAB RN
Provider Business Mailing Address
First Line : 4711 GROVELAND AVE
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-1554
Country : US
Telephone Number : 248-549-2755
Fax Number :
Provider Business Practice Location Address
First Line : 4711 GROVELAND AVE
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-1554
Country : US
Telephone Number : 248-549-2755
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2015
Last Update Date : 02/11/2015

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