Unknown Individual – Nurse Practitioner, NPI 1104876671
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Haggerty Road, Novi, Oakland County, Michigan, 48323, United States
SUITE 150
NOVI, MI 483755510
Phone: (248) 662-0250
Type: Mailing
North Center Road, Saginaw Charter Township, Saginaw County, Michigan, 48604, United States
SAGINAW, MI 486033717
Phone: (989) 799-2996
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48375)
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