Individual provider · Type 1 NPI

Cienna Renee Supanich, NP

Acute Care Nurse Practitioner · West Bloomfield, MI

NPI number 1811612690 Active

Practice location

6777 W Maple Rd
West Bloomfield, MI 48322-3013

Mailing address

1 Ford Pl Ste 3A
Detroit, MI 48202-3450

Other practice locations

  • 100 Michigan St NE # MC019, Grand Rapids, MI 49503-2560 · (616) 486-0310
  • 16001 W 9 Mile Rd, Southfield, MI 48075-4818 · (248) 849-3000

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X4704338438 (MI)
Acute Care Nurse Practitioner Primary 363LA2100X4704338438 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1811612690

Cienna Renee Supanich, NP's National Provider Identifier is 1811612690, issued on Oct 5, 2022. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in West Bloomfield, MI. The record was last updated on Sep 16, 2026.