Individual provider · Type 1 NPI
Vanessa Misukanis, NP
Gerontology Nurse Practitioner · Detroit, MI
NPI number
1083155436
Active
Practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704278565 (MI) |
| Acute Care Nurse Practitioner | 363LA2100X | 4704278565 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1083155436
Vanessa Misukanis, NP's National Provider Identifier is 1083155436, issued on Mar 18, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Detroit, MI. The record was last updated on May 9, 2017.