Provider Demographics
NPI:1831665090
Name:GHINESCU, IRINA CLAUDIA (NP)
Entity Type:Individual
Prefix:
First Name:IRINA
Middle Name:CLAUDIA
Last Name:GHINESCU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2858 EMMONS AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4723
Mailing Address - Country:US
Mailing Address - Phone:916-494-9900
Mailing Address - Fax:
Practice Address - Street 1:2858 EMMONS AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-4723
Practice Address - Country:US
Practice Address - Phone:916-494-9900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704302969363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner