Individual provider · Type 1 NPI
Larisa Pogorelova
Critical Care Medicine Registered Nurse · Southfield, MI
NPI number
1114639986
Active
Practice location
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Mailing address
24828 Toddy Ln
Farmington Hills, MI 48335-2075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine Registered Nurse Primary | 163WC0200X | 4704320981 (MI) |
Critical Care Medicine Registered Nurse: Definition to come...
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About NPI 1114639986
Larisa Pogorelova's National Provider Identifier is 1114639986, issued on Dec 23, 2022. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Southfield, MI. The record was last updated on Dec 23, 2022.