Individual provider · Type 1 NPI

Yusaman Shushtari Kadrich, MSN, RN, CPNP-PC

Pediatric Nurse Practitioner · Troy, MI

NPI number 1750754743 Active

Practice location

44201 Dequindre Rd
Troy, MI 48085-1117

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4704281168 (MI)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1750754743

Yusaman Shushtari Kadrich, MSN, RN, CPNP-PC's National Provider Identifier is 1750754743, issued on Nov 12, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Troy, MI. The record was last updated on Aug 24, 2026.