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Search › Michigan › Psychiatric/Mental Health Nurse Practitioner

Charlie Gantt, NP, AGPRN, PMHNP

NPI 1346861440 · on the registry since 2020

Practice

Address
32905 W 12 Mile Rd
Farmington Hills, MI 48334
Phone
(248) 957-9184
Fax
(248) 957-9185
Organisation at this address
Dental Admin Co
Prime Dental Pllc
Eiwaz Dental, Pllc
Mojo Dental Services
Asclepius Clinic Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
Gerontology Nurse Practitioner
Primary Care Nurse Practitioner
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan