MRS. KIRSTEN MARIE PODVIN NP-C NPI 1912512849

NPI Information

NPI: 1912512849
Provider Name: MRS. KIRSTEN MARIE PODVIN, NP-C
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
172 DOURDAN
BLOOMFIELD HILLS, MI
ZIP 48304
Phone: (248) 495-1764
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MRS. Kirsten Marie Podvin, NP-C is a primary care nurse practitioner in Bloomfield Hills, MI. MRS. Kirsten Marie Podvin, NP-C NPI is 1912512849. 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:

172 DOURDAN
BLOOMFIELD HILLS, MI
ZIP 48304-737
Phone: (248) 495-1764

The NPI 1912512849 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 9/8/2020 and was last updated on 3/16/2021.

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		06201513	MICHIGAN	No
2	363LP2300X	Nurse Practitioner	Primary Care	4704328121	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: 5/5/2024

NPI Synchronization or Removal

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