Unknown Individual – Nurse Practitioner, NPI 1497764716
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
239, Fair Street, Plymouth, Wayne County, Michigan, 48170, United States
PLYMOUTH, MI 481701964
Phone: (734) 453-7927
Type: Mailing
John D. Dingell VA Medical Center, 4646, John R Street, Medical Center, Midtown, Detroit, Wayne County, Michigan, 48201, United States
DETROIT, MI 482011916
Phone: (313) 576-1000
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 48170)
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