NPI 1023673639
Annointed Outreach
Practice location
- Address
- 1175 Baldwin Ave, Pontiac, MI 48340-2709
- Phone
- (248) 221-5469
Authorised official
- Name
- Lazon Johnson
- Title
- Administrator
- Phone
- (248) 221-5469
Registered specialties
Adult Health Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1023673639
- Entity type
- Organization
- NPI issued
- 8 May 2019
- Record last updated
- 7 Oct 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.