Individual provider · Type 1 NPI

Pensri P. Geletka

Family Nurse Practitioner · Southgate, MI

NPI number 1609632256 Active

Practice location

15150 Fort St
Southgate, MI 48195-1302

Fax (734) 282-9302

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704299683NSA2403O (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1609632256

Pensri P. Geletka's National Provider Identifier is 1609632256, issued on Feb 22, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southgate, MI. The record was last updated on Nov 24, 2024.