MARINA BRYKALOVA NP NPI 1194977579

NPI Information

NPI: 1194977579
Provider Name: MARINA BRYKALOVA, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
24111 SOUTHFIELD RD
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 557-8800
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Marina Brykalova, NP is an adult health nurse practitioner in Southfield, MI. Marina Brykalova, NP NPI is 1194977579. 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:

24111 SOUTHFIELD RD
SOUTHFIELD, MI
ZIP 48075-841
Phone: (248) 557-8800

The enumeration date for this NPI number is 10/16/2008 and was last updated on 10/6/2015.

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	163W00000X	Registered Nurse		175236-0	MINNESOTA	No
2	363LA2200X	Nurse Practitioner	Adult Health	4704315610	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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