Organization · Type 2 NPI

Botsford General Hospital

Pediatric Registered Nurse · Farmington, MI

NPI number 1417134149 Active

Practice location

23133 Orchard Lake Rd, Suite 100
Farmington, MI 48336-3268

Call (248) 477-0100 Map

Fax (248) 477-6153

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

Specialties and licenses

Taxonomy	Code	License
Pediatric Registered Nurse Primary	163WP0200X	None listed

Pediatric Registered Nurse: Definition to come...

15 other providers at this address

NPI record

NPI: 1417134149
Entity type: Organization (Type 2)
Issued: Jan 24, 2008
Last updated: Aug 16, 2019
Status: Active
Subpart: Yes of Botsford General Hospital

Other names

<unavail>
Botsford Pediatric Assoc (np) · doing business as
Botsford Pediatric Assoc (np) · doing business as

Authorized official

Lesley Willbrandt
Director Shared Services
(947) 522-1911

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About NPI 1417134149

Botsford General Hospital's National Provider Identifier is 1417134149, issued on Jan 24, 2008. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Farmington, MI. The record was last updated on Aug 16, 2019.