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PREVENTATIVE PRIMARY CARE NPI 1043531007


NPI Information

NPI: 1043531007
Provider Name: PREVENTATIVE PRIMARY CARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
20600 EUREKA RD STE 522
TAYLOR, MI
ZIP 48180
Phone: (734) 225-6507
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PREVENTATIVE PRIMARY CARE is a family nurse practitioner in Taylor, MI. PREVENTATIVE PRIMARY CARE NPI is 1043531007. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20600 EUREKA RD STE 522
TAYLOR, MI
ZIP 48180-373
Phone: (734) 225-6507
Fax: (734) 225-6513

The provider's authorized official is Sheila Marie Blanding .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (734) 225-6507.

The enumeration date for this NPI number is 6/14/2010 and was last updated on 6/14/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily4704190451MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500H258620OTHERMICHIGANBCBS
2MI2477001MEDICARE PINMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.