Individual provider · Type 1 NPI
Daja Whiteside
Nurse Practitioner · Southfield, MI
Practice location
21431 Buttercrest St
Southfield, MI 48075-3916
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 4704335567 (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 1740133180
Daja Whiteside's National Provider Identifier is 1740133180, issued on Feb 17, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southfield, MI. The record was last updated on Feb 17, 2026.