Individual provider · Type 1 NPI

Grace Luise Takish, FNP

Nurse Practitioner · Warren, MI

NPI number 1801627286 Active

Practice location

11012 E 13 Mile Rd Ste 112
Warren, MI 48093-2546

Mailing address

PO Box 44897
Detroit, MI 48244-0897

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704318984 (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 1801627286

Grace Luise Takish, FNP's National Provider Identifier is 1801627286, issued on Aug 8, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Warren, MI. The record was last updated on Apr 17, 2025.