Organization · Type 2 NPI

Henry Ford Health System

Nurse Practitioner · Detroit, MI

NPI number 1104900455 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X830190 (MI)
Adult Health Nurse Practitioner 363LA2200XNone listed
Family Nurse Practitioner 363LF0000XNone 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 1104900455

Henry Ford Health System's National Provider Identifier is 1104900455, issued on Oct 24, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Mar 6, 2024.