Mirovsky, Renee Annette
Mirovsky, Renee Annette is an sole proprietor health care provider with primary practice located at 4576 W Walton Blvd , Waterford MI 48329-4077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Mirovsky, Renee Annette can be contacted via phone (248) 673-6633.Contact Information
Primary practice address
4576 W Walton Blvd
Waterford MI 48329-4077
Phone: (248) 673-6633
Fax: (248) 673-6677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4704195563 | Michigan |
Profile Details
| NPI number | 1740461185 |
|---|---|
| LBN Legal business name | Mirovsky, Renee Annette |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2007 |
| Last updated | Nov 14th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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