MRS. MARIVIC BALASOTE, MSN,RNC,CNNP

Nurse Practitioner - Neonatal

Active Individual
NPI: 1053492462

Practice Address

2799 W GRAND BLVD
Detroit, MI 48202

Phone: (313) 916-0467

Specialties

Specialty Code Primary License
Nurse Practitioner - Neonatal 363LN0000X Yes 4704142699 (MI)

Frequently Asked Questions

NPI 1053492462 is the National Provider Identifier for MRS. MARIVIC BALASOTE, MSN,RNC,CNNP, a Nurse Practitioner - Neonatal provider located in Detroit, MI. This NPI was enumerated on October 19, 2006.
MRS. MARIVIC BALASOTE, MSN,RNC,CNNP practices at 2799 W GRAND BLVD, Detroit, MI 48202.

Quick Facts

NPI
1053492462
Type
Individual
Enumerated
Oct 19, 2006
Last Updated
Jul 8, 2007

Nearby Providers