Provider Demographics
NPI:1750839452
Name:CASE, AURORA (N P)
Entity type:Individual
Prefix:
First Name:AURORA
Middle Name:
Last Name:CASE
Suffix:
Gender:F
Credentials:N P
Other - Prefix:
Other - First Name:NA
Other - Middle Name:
Other - Last Name:NA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:14933 AUBREY
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3461
Mailing Address - Country:US
Mailing Address - Phone:734-819-0743
Mailing Address - Fax:
Practice Address - Street 1:14933 AUBREY
Practice Address - Street 2:
Practice Address - City:REDFORD
Practice Address - State:MI
Practice Address - Zip Code:48239-3461
Practice Address - Country:US
Practice Address - Phone:734-819-0743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704285460363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily