Provider Demographics
NPI:1770270860
Name:CLEETUS, SNEHA TRESIA (RN, NP)
Entity type:Individual
Prefix:MS
First Name:SNEHA
Middle Name:TRESIA
Last Name:CLEETUS
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Gender:F
Credentials:RN, NP
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Mailing Address - Street 1:21000 E 12 MILE RD STE 111
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-1156
Mailing Address - Country:US
Mailing Address - Phone:586-779-7610
Mailing Address - Fax:586-779-0031
Practice Address - Street 1:21000 E 12 MILE RD STE 111
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48081-1156
Practice Address - Country:US
Practice Address - Phone:586-779-7610
Practice Address - Fax:586-779-0031
Is Sole Proprietor?:No
Enumeration Date:2023-04-19
Last Update Date:2024-07-22
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Provider Licenses
StateLicense IDTaxonomies
MI4704416686363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner