RESTORATION HEALTH CONSULTING NPI 1962955625

NPI Information

NPI: 1962955625
Provider Name: RESTORATION HEALTH CONSULTING
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 23D2217635

Address:
17751 E WARREN AVE
DETROIT, MI
ZIP 48224
Phone: (313) 744-2164
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RESTORATION HEALTH CONSULTING is a family nurse practitioner in Detroit, MI. RESTORATION HEALTH CONSULTING NPI is 1962955625. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17751 E WARREN AVE
DETROIT, MI
ZIP 48224-329
Phone: (313) 744-2164
Fax: (313) 885-1268

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 CLIA number assigned to this NPI record is 23D2217635 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2016 and was last updated on 7/29/2016.

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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