Provider Demographics
NPI:1023180106
Name:NURSING PRACTICE CORPORATION
Entity type:Organization
Organization Name:NURSING PRACTICE CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:KLUG
Authorized Official - Last Name:REDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, PHD
Authorized Official - Phone:313-577-4070
Mailing Address - Street 1:5200 ANTHONY WAYNE DR
Mailing Address - Street 2:STE 115
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3945
Mailing Address - Country:US
Mailing Address - Phone:313-577-5041
Mailing Address - Fax:313-577-9581
Practice Address - Street 1:5200 ANTHONY WAYNE DR
Practice Address - Street 2:STE 115
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-3945
Practice Address - Country:US
Practice Address - Phone:313-577-5041
Practice Address - Fax:313-577-9581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty