Individual provider · Type 1 NPI
Cassandra Kondylis, ACNPC-AG
Adult Health Nurse Practitioner · West Bloomfield, MI
NPI number
1114605250
Active
Practice location
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Mailing address
1 Ford Pl Ste 3A
Detroit, MI 48202-3450
Other practice locations
- 9500 Euclid Ave, Cleveland, OH 44195-0002 · (216) 444-2200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN.CNP.0034294 (OH) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 4704425980 (MI) |
Adult Health Nurse Practitioner: Definition to come...
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Other adult health nurse practitioner providers in West Bloomfield
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- Sally SegalAdult Health Nurse Practitioner West Bloomfield, MI NPI 1235536061
- Catherine Ann Fitzgerald, NPAdult Health Nurse Practitioner West Bloomfield, MI NPI 1386890879
About NPI 1114605250
Cassandra Kondylis, ACNPC-AG's National Provider Identifier is 1114605250, issued on Jul 10, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in West Bloomfield, MI. The record was last updated on Dec 9, 2025.