Individual provider · Type 1 NPI

Alysha Marie Kubala, APRN, AGACNP-BC

Acute Care Nurse Practitioner · Detroit, MI

NPI number 1376212480 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Call (313) 874-3038 Map

Mailing address

2703 22nd St
Wyandotte, MI 48192-4841

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner	363LA2100X	4704327294NSA210R4 (MI)
Acute Care Nurse Practitioner Primary	363LA2100X	4704327294 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1376212480

Alysha Marie Kubala, APRN, AGACNP-BC's National Provider Identifier is 1376212480, issued on Sep 10, 2021. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Detroit, MI. The record was last updated on Oct 12, 2021.