Individual provider · Type 1 NPI
Prachi K. Dave
Administrator Registered Nurse · Detroit, MI
NPI number
1790641975
Active
Practice location
4646 John R St
Detroit, MI 48201-1916
Mailing address
2911 W Grand Blvd Apt 4137
Detroit, MI 48202-2682
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 1103370 (TX) |
Administrator Registered Nurse: Definition to come...
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About NPI 1790641975
Prachi K. Dave's National Provider Identifier is 1790641975, issued on Dec 31, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Detroit, MI. The record was last updated on Dec 31, 2025.