Individual provider · Type 1 NPI

Gorji Etaponaobase Ekwese

Primary Care Nurse Practitioner · Detroit, MI

NPI number 1982150181 Active

Practice location

Henry Ford Hospital, 2799 W. Grand Blvd
Detroit, MI 48202

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X4704264505 (MI)
Primary Care Nurse Practitioner Primary 363LP2300X4704264505 (MI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1982150181

Gorji Etaponaobase Ekwese's National Provider Identifier is 1982150181, issued on Aug 28, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Detroit, MI. The record was last updated on Dec 1, 2022.