Individual provider · Type 1 NPI

Alexandra Vidovska

Nurse Practitioner · Clinton Township, MI

NPI number 1679394183 Active

Practice location

15855 19 Mile Rd
Clinton Township, MI 48038-3504

Fax (313) 876-1305

Mailing address

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

Other practice locations

  • 47911 Sandy Ridge Dr, Macomb, MI 48044-5921 · (586) 909-5999

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100X4704321932 (MI)
Nurse Practitioner Primary 363L00000X4704321932 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1679394183

Alexandra Vidovska's National Provider Identifier is 1679394183, issued on Oct 18, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Clinton Township, MI. The record was last updated on Feb 2, 2026.