Individual provider · Type 1 NPI

Padma Padival

Gerontology Nurse Practitioner · Southgate, MI

NPI number 1295478113 Active

Practice location

15150 Fort St
Southgate, MI 48195-1302

Mailing address

45948 Windridge Ln
Canton, MI 48188-6223

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XAG03220068 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1295478113

Padma Padival's National Provider Identifier is 1295478113, issued on Apr 18, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Southgate, MI. The record was last updated on Oct 1, 2024.