Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN TRACY WOLGAMOTT, DNP
ActiveSUSAN TRACY WOLGAMOTT, DNP is a Family Nurse Practitioner healthcare provider located in BLOOMFIELD TOWNSHIP, Michigan. NPI 1760894638 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BLOOMFIELD TOWNSHIP, MI
Registration Details
- NPI Number
- 1760894638
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2014 (12.178698884891 yrs)
- Last Updated
- Oct 9, 2024
- License
-
4704191164 (MI)
Practice Information
- Address
-
10 W SQUARE LAKE RD STE 200BLOOMFIELD TOWNSHIP, MI, 483020467Browse MI providers · Browse ZIP 48302
- Phone
- 2482211845
- Fax
- 8336452176
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in BLOOMFIELD TOWNSHIP, MI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER ANDRES | FNP | 1255702759 |
| MERANDA PATTAH KALASHO | FNP-C | 1629739743 |
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.