Organization · Type 2 NPI

University Physician Group

Nurse Practitioner · Detroit, MI

NPI number 1346289147 Active

Practice location

4100 John R St
Detroit, MI 48201-2013

Fax (313) 576-8381

Mailing address

1560 E Maple Rd, Suite 400-CREDENTIALING Dept
Troy, MI 48083-1138

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone 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…

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About NPI 1346289147

University Physician Group's National Provider Identifier is 1346289147, issued on Jun 6, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on Oct 26, 2016.