Organization · Type 2 NPI

William Beaumont Hospitals

Nurse Practitioner · Royal Oak, MI

NPI number 1194774919 Active

Practice location

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

Call (248) 423-2454 Map

Mailing address

26901 Beaumont Blvd, Compliance
Southfield, MI 48033-3842

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None 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…

1,715 other providers at this address

Other nurse practitioner providers in Royal Oak

See all in Royal Oak →

NPI record

NPI: 1194774919
Entity type: Organization (Type 2)
Issued: May 9, 2006
Last updated: Oct 1, 2021
Status: Active
Subpart: Yes of William Beaumont Hospital

Other names

<unavail>
Beaumont Professional Services/nurse Practioner · doing business as
Beaumont Professional Services/nurse Practioner · doing business as

Authorized official

Lee Ann Odom
President Shared Services
(947) 522-3326

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1194774919

William Beaumont Hospitals's National Provider Identifier is 1194774919, issued on May 9, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Royal Oak, MI. The record was last updated on Oct 1, 2021.