Provider Demographics
NPI:1083804397
Name:CARETHERS, DENISE W (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:W
Last Name:CARETHERS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:A
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:2578 TIMBER HILL DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-2179
Mailing Address - Country:US
Mailing Address - Phone:858-663-9101
Mailing Address - Fax:
Practice Address - Street 1:2578 TIMBER HILL DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-2179
Practice Address - Country:US
Practice Address - Phone:858-663-9101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 8213363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner