Most Relevant Information
Provider Data
| NPI Number: | 1003379306 |
| Provider Name: | TREESA ANTONY DNP, FNP-BC, RN-BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704310872 |
Most Important Dates
| Enumeration Date: | 04/12/2019 |
| Last Updated: | 06/11/2021 |
Provider Practice Location
700 REYNOLD SWEET PKWY
SOUTH LYON
MI
481781816
Practice Location Phone/Fax
| Phone: | 2484372048 |
| Fax: |
Provider Mailing Location
5285 ANTHONY WAYNE DR
DETROIT
MI
482023947
Provider Mailing Phone/Fax
| Phone: | 2488807283 |
| Fax: |