Provider Demographics
NPI:1033475322
Name:MURATOVIC, EDINA
Entity Type:Individual
Prefix:
First Name:EDINA
Middle Name:
Last Name:MURATOVIC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32500 CONCORD DR
Mailing Address - Street 2:STE 343
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-1100
Mailing Address - Country:US
Mailing Address - Phone:248-588-0512
Mailing Address - Fax:
Practice Address - Street 1:32500 CONCORD DR
Practice Address - Street 2:STE 343
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-1100
Practice Address - Country:US
Practice Address - Phone:248-588-0512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2012-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703107350164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse