Provider / Organization | NPI | Date Certified |
---|---|---|
NECOLA SELENA TABLE | 1659970002 | 2023-10-06 |
Necola Selena Table is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659970002. Registration indicates Necola Selena Table is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Ms. Necola Selena Table FNP-C |
Practice Office Address | 18985 WOODCREST ST HARPER WOODS, MI US |
Practice Office Telephone | 3139788696 |
Mailing Address | 18985 WOODCREST ST HARPER WOODS, MI 482252062 US |
Business Telephone | 3139788696 |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 4704250204
MI |