Provider Demographics
NPI:1184013419
Name:REDMOND, SARINA RENEE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:SARINA
Middle Name:RENEE
Last Name:REDMOND
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:2700 ROBERT T LONGWAY BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-2190
Mailing Address - Country:US
Mailing Address - Phone:810-235-2004
Mailing Address - Fax:810-235-2841
Practice Address - Street 1:2700 ROBERT T LONGWAY BLVD
Practice Address - Street 2:STS B
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2190
Practice Address - Country:US
Practice Address - Phone:810-235-2004
Practice Address - Fax:810-235-2841
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704235082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily