Organization · Type 2 NPI
Northridge Family Practice LLC
Nurse Practitioner · Hale, MI
Practice location
3190 Northridge Drive
Hale, MI 48739-9276
Fax (989) 728-6003
Mailing address
PO Box 279
Hale, MI 48739-0279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301061417 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704173663 (MI) |
| Nurse Practitioner | 363L00000X | 4704148660 (MI) |
| Family Nurse Practitioner | 363LF0000X | 4704245250 (MI) |
| Family Nurse Practitioner | 363LF0000X | 4704283185 (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…
3 other providers at this address
About NPI 1891712493
Northridge Family Practice LLC's National Provider Identifier is 1891712493, issued on Jul 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hale, MI. The record was last updated on Nov 2, 2015.