Individual provider · Type 1 NPI
Elizabeth Serra
Pediatric Nurse Practitioner · Detroit, MI
NPI number
1154675387
Active
Practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
1871 Jason Cir
Rochester Hills, MI 48306-3639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 4704276171 (MI) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1154675387
Elizabeth Serra's National Provider Identifier is 1154675387, issued on Nov 9, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Detroit, MI. The record was last updated on Nov 12, 2012.