Mrs. MARIVIC BALASOTE -- MSN,RNC,CNNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Neonatal
Provider Information
- NPI Number
1053492462- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MSN,RNC,CNNP
- Status
- Active
Contact & Location
- Address
- 2799 W GRAND BLVD, DETROIT, MI, 482022608
- Phone
- (313) 916-0467
Specialties & Taxonomies
Nurse Practitioner, Neonatal
Primary License: MI #4704142699