Individual provider · Type 1 NPI

Cassandra Lynne Porzondek Shrum, NP

Acute Care Nurse Practitioner · Dearborn, MI

NPI number 1366134546 Active

Practice location

18101 Oakwood Blvd
Dearborn, MI 48124-4089

Call (313) 982-5848 Map

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	4704319417 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1366134546

Cassandra Lynne Porzondek Shrum, NP's National Provider Identifier is 1366134546, issued on May 24, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dearborn, MI. The record was last updated on Mar 27, 2026.