Avaya Solutions Of Michigan LLC
Nurse Practitioner in Troy, MI. Organization (NPI-2).
NPI number1255196770
StatusActive
Last updated in NPPESFeb 14, 2024
Details
- NPI
- 1255196770
- Entity type
- Organization (NPI-2)
- Legal business name
- Avaya Solutions Of Michigan LLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2024
- Certification date
- Feb 14, 2024
- Last updated
- Feb 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
| 163WW0000X | Registered Nurse, Wound Care | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
888 W Big Beaver Rd Ste 222Troy, MI 48084-4736
Phone 312-404-9639
Mailing address
888 W Big Beaver Rd Ste 222Troy, MI 48084-4736
Phone 312-404-9639
Authorized official
Rolando G Arrojo
Managing Member
3124049639
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