Individual provider · Type 1 NPI

Alicia Haley Petrunak

Registered Nurse · Detroit, MI

NPI number 1487296091 Active

Practice location

2799 W Grand Blvd
Detroit, MI 48202-2689

Mailing address

3671 Buckingham Ave
Berkley, MI 48072-1464

Other practice locations

  • 3671 Buckingham Ave, Berkley, MI 48072-1464 · (586) 612-8817

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704330124 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1487296091

Alicia Haley Petrunak's National Provider Identifier is 1487296091, issued on Oct 15, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Detroit, MI. The record was last updated on Dec 5, 2022.