NP PROVISION LLC NPI 1043726144

NPI Information

NPI: 1043726144
Provider Name: NP PROVISION, LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
27177 LAHSER RD STE 201
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 895-8562
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NP PROVISION, LLC is an adult health nurse practitioner in Southfield, MI. NP PROVISION, LLC NPI is 1043726144. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27177 LAHSER RD STE 201
SOUTHFIELD, MI
ZIP 48034-468
Phone: (248) 895-8562
Fax: (248) 286-6255

The provider's authorized official is Timiko L Drew .
The authorized official title is Proprietor/nurse Practitioner and has the following contact phone number (313) 587-3087.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 11/11/2022.

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	363LA2200X	Nurse Practitioner	Adult Health	4704177492	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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