RESTORATION HEALTH LLC NPI 1710438775

NPI Information

NPI: 1710438775
Provider Name: RESTORATION HEALTH LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
17751 E WARREN AVE
DETROIT, MI
ZIP 48224
Phone: (313) 744-2164
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RESTORATION HEALTH LLC is a family nurse practitioner in Detroit, MI. RESTORATION HEALTH LLC NPI is 1710438775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17751 E WARREN AVE
DETROIT, MI
ZIP 48224-329
Phone: (313) 744-2164

The provider's authorized official is Dequindra Quinn .
The authorized official title is Owner and has the following contact phone number (313) 744-2164.

The enumeration date for this NPI number is 10/14/2016 and was last updated on 10/14/2016.

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	363LF0000X	Nurse Practitioner	Family	4704205118	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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