MICHAEL DERAAD CFNP NPI 1487196952

NPI Information

NPI: 1487196952
Provider Name: MICHAEL DERAAD, CFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
40463 S GROESBECK HWY
CLINTON TOWNSHIP, MI
ZIP 48036
Phone: (586) 300-9114
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Michael Deraad, CFNP is a family nurse practitioner in Clinton Township, MI with 8 years of experience. Michael Deraad, CFNP NPI is 1487196952. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

40463 S GROESBECK HWY
CLINTON TOWNSHIP, MI
ZIP 48036-005
Phone: (586) 300-9114
Fax: (586) 300-9115

The NPI 1487196952 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 11/15/2016 and was last updated on 10/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		4704285839	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	4704285839	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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