Individual provider · Type 1 NPI
Minu Mathew Puthuppally, FNP-C
Family Nurse Practitioner · Troy, MI
NPI number
1477422152
Active
Practice location
2212 Lakeside Dr
Troy, MI 48085-1043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704374146 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1477422152
Minu Mathew Puthuppally, FNP-C's National Provider Identifier is 1477422152, issued on Nov 1, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Troy, MI. The record was last updated on Nov 1, 2025.