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CHARLIE GANTT, NP, AGPRN, PMHNP
NP, AGPRN, PMHNP
Psychiatric/Mental Health Nurse Practitioner
NPI: 1346861440IndividualAccepts Medicare
Specialties, Licenses & Credentials
Gerontology Nurse Practitioner
Nurse Practitioner — Gerontology
Code: 363LG0600X
4704317868(MI)
Primary Care Nurse Practitioner
Nurse Practitioner — Primary Care
Code: 363LP2300X
4704317868(MI)
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
4704317868(MI)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 32905 W 12 MILE RD
FARMINGTON HILLS, MI 48334 - Phone
- (248) 957-9184
Quick Facts
- NPI
- 1346861440
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 7
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