Individual provider · Type 1 NPI

Paul Thomas Demrose, RN, MSN, OHST

Case Management Registered Nurse · Detroit, MI

NPI number 1790640241 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Specialties and licenses

Taxonomy	Code	License
Case Management Registered Nurse Primary	163WC0400X	4704289821 (MI)

Case Management Registered Nurse: Definition to come...

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About NPI 1790640241

Paul Thomas Demrose, RN, MSN, OHST's National Provider Identifier is 1790640241, issued on Dec 17, 2025. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Detroit, MI. The record was last updated on Dec 17, 2025.