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
31

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Also registered as
363LG0600X
363LP2300X
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