| Legarius, Llc | |
|
23077 Greenfield Rd Ste156 Southfield MI 48075-3709 | |
| (313) 522-3939 | |
| Not Available |
| Full Name | Legarius, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 23077 Greenfield Rd, Southfield, Michigan |
| Authorized Official Name and Position | Danyelle Syvette Armour (NURSE PRACTITIONER) |
| Authorized Official Contact | 3135223939 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legarius, Llc 6424 Summer Ct West Bloomfield MI 48322-2234 Ph: (313) 522-3939 | Legarius, Llc 23077 Greenfield Rd Ste156 Southfield MI 48075-3709 Ph: (313) 522-3939 |
| NPI Number | 1366976375 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 04/24/2017 |
| Medicare PECOS PAC ID | 9830466648 |
|---|---|
| Medicare Enrollment ID | O20170530000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366976375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301055371 (Michigan) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 4704238009 (Michigan) | Primary |
| Provider Name | Danyelle S Armour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356595441 PECOS PAC ID: 1557412160 Enrollment ID: I20090622000336 |
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