Individual provider · Type 1 NPI

Amudha Palaiyan, NURSE PRACTITIONER

Gerontology Nurse Practitioner · Detroit, MI

NPI number 1548796964 Active

Practice location

2799 W Grand Blvd # K14
Detroit, MI 48202-2608

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 1 William Carls Dr # 100, Commerce Township, MI 48382-2201 · (248) 937-4764
  • 1 William Carls Dr # 100, Commerce Township, MI 48382-2201 · (248) 937-4764

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X4704258315 (MI)
Gerontology Nurse Practitioner Primary 363LG0600X4704258315 (MI)

Gerontology Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1548796964

Amudha Palaiyan, NURSE PRACTITIONER's National Provider Identifier is 1548796964, issued on May 4, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Detroit, MI. The record was last updated on Oct 15, 2025.