Individual provider · Type 1 NPI

Marisa Anne Badanjek, NP-C

Primary Care Nurse Practitioner · Royal Oak, MI

NPI number 1114153756 Active

Practice location

3555 W 13 Mile Rd Ste N120
Royal Oak, MI 48073-6710

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 · (248) 551-1701
  • 3901 Beaubien St, Detroit, MI 48201 · (313) 745-6208

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X4704234212 (MI)
Family Nurse Practitioner 363LF0000X4704234212 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1114153756

Marisa Anne Badanjek, NP-C's National Provider Identifier is 1114153756, issued on Jun 10, 2009. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Royal Oak, MI. The record was last updated on Jan 6, 2021.