Organization · Type 2 NPI
Motor City Drip Hydration and Wellness LLC
Gerontology Nurse Practitioner · Southfield, MI
NPI number
1780484998
Active
Practice location
21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713
Fax (313) 731-0144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Gerontology Nurse Practitioner Primary | 363LG0600X | None listed |
Gerontology Nurse Practitioner: Definition to come...
6 other providers at this address
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- Motor City Drip Hydration and Wellness LLCNurse Practitioner Southfield, MI NPI 1356156368
- Lynn Willis-Carr, FNP-BCFamily Nurse Practitioner Southfield, MI NPI 1528692894
- Nicorya Scott, NURSE PRACTITIONERGerontology Nurse Practitioner Southfield, MI NPI 1073270609
- Tiffany Latissha ValentineProfessional Counselor Southfield, MI NPI 1679325344
About NPI 1780484998
Motor City Drip Hydration and Wellness LLC's National Provider Identifier is 1780484998, issued on Mar 17, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Southfield, MI. The record was last updated on Sep 8, 2026.