MRS. CRYSTAL JOSEPHINE SUBOTICH R.N. NPI 1316219272

NPI Information

MRS. Crystal Josephine Subotich, R.N. is a psychiatric/mental health nurse practitioner in Southfield, MI with 8 years of experience. MRS. Crystal Josephine Subotich, R.N. NPI is 1316219272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

22170 W 9 MILE RD
SOUTHFIELD, MI
ZIP 48033-007
Phone: (248) 372-6800
Fax: (248) 355-1402

The NPI 1316219272 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2012 and was last updated on 3/2/2017.

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:

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