Organization · Type 2 NPI

MMG 1 PC

Nurse Practitioner · Southfield, MI

NPI number 1023037025 Active

Practice location

28625 Northwestern Hwy, Suite 213
Southfield, MI 48034-1828

Fax (248) 354-3653

Mailing address

29992 Northwestern Hwy Ste C
Farmington Hills, MI 48334-3292

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1023037025

MMG 1 PC's National Provider Identifier is 1023037025, issued on Jul 19, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southfield, MI. The record was last updated on May 24, 2021.