Provider Demographics
NPI:1871533034
Name:OHS, CAROL ANN (APRN-BC, NP)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:OHS
Suffix:
Gender:F
Credentials:APRN-BC, NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:901 MACOMB
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162
Mailing Address - Country:US
Mailing Address - Phone:734-240-4164
Mailing Address - Fax:734-240-4170
Practice Address - Street 1:901 N MACOMB ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3083
Practice Address - Country:US
Practice Address - Phone:734-240-4164
Practice Address - Fax:734-240-4170
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704123413363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner