Individual provider · Type 1 NPI
Severia Adolphus, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · St. Clair Shores, MI
NPI number
1992939052
Active
Practice location
31235 Harper Ave Ste 244
St. Clair Shores, MI 48082-1425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 4704170742 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704170742 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1992939052
Severia Adolphus, NURSE PRACTITIONER's National Provider Identifier is 1992939052, issued on May 5, 2009. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Clair Shores, MI. The record was last updated on Apr 12, 2021.