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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. BETHANY ANNE MUSALLAM, CPNP-PC

Active

MRS. BETHANY ANNE MUSALLAM, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in SHELBY TOWNSHIP, Michigan. NPI 1295912624 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · SHELBY TOWNSHIP, MI

Registration Details

NPI Number
1295912624
Provider Type
Individual
Gender
Female
NPI Issued
Jan 29, 2008 (18.498710111885 yrs)
Last Updated
Jul 29, 2022
Licenses
4704244961 (MI)
4704244961 (MI)

Practice Information

Address
15125 22 MILE RD.
SHELBY PEDIATRICS
SHELBY TOWNSHIP, MI, 48315
Browse MI providers · Browse ZIP 48315
Phone
5865320599
Fax
5865668967
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in SHELBY TOWNSHIP, MI

Name Credential NPI
DANA MARIE KOPACZ 1942847116
SALINE ELIZABETH CHOULAGH 1669339883
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.