FUNDAMENTAL HEALING INC NPI 1083276547

NPI Information

NPI: 1083276547
Provider Name: FUNDAMENTAL HEALING, INC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
29829 TELEGRAPH RD STE 204
SOUTHFIELD, MI
ZIP 48034
Phone: (248) 601-0234
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FUNDAMENTAL HEALING, INC is a family nurse practitioner in Southfield, MI. FUNDAMENTAL HEALING, INC NPI is 1083276547. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29829 TELEGRAPH RD STE 204
SOUTHFIELD, MI
ZIP 48034-330
Phone: (248) 601-0234
Fax: (844) 273-8145

The provider's authorized official is Gretchen Perry .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (313) 715-4835.

The enumeration date for this NPI number is 7/5/2019 and was last updated on 7/5/2019.

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	364SH1100X	Clinical Nurse Specialist	Holistic			No
2	363LF0000X	Nurse Practitioner	Family			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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