MRS. Marivic Balasote, MSN,RNC,CNNP is a neonatal nurse practitioner in Detroit, MI. MRS. Marivic Balasote, MSN,RNC,CNNP NPI is 1053492462. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2799 W GRAND BLVD
DETROIT, MI
ZIP 48202-608
Phone: (313) 916-0467
The NPI 1053492462 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/8/2007.