MARINA BRYKALOVA NP NPI 1194977579

NPI Information

  • NPI: 1194977579
  • Provider Name: MARINA BRYKALOVA, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 24111 SOUTHFIELD RD
    SOUTHFIELD, MI
    ZIP 48075
  • Phone: (248) 557-8800

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NPI Details

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
1163W00000XRegistered Nurse175236-0MINNESOTANo
2363LA2200XNurse PractitionerAdult Health4704315610MICHIGANYes

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: 11/21/2025

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