Most Relevant Information
Provider Data
| NPI Number: | 1003381500 |
| Provider Name: | THEONNA MONIQUE HINDMON-HARRIS NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704277378 |
Most Important Dates
| Enumeration Date: | 10/10/2018 |
| Last Updated: | 10/10/2018 |
Provider Practice Location
21700 NORTHWESTERN HWY STE 815
SOUTHFIELD
MI
480754922
Practice Location Phone/Fax
| Phone: | 2485573337 |
| Fax: | 2485573339 |
Provider Mailing Location
21700 NORTHWESTERN HWY STE 815
SOUTHFIELD
MI
480754922
Provider Mailing Phone/Fax
| Phone: | 2485573337 |
| Fax: | 2485573339 |