# COREWELL HEALTH EAST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376413260
- **Authorized official:** MS. CINDY ALEJANDRA VAZQUEZ NNP (NEONATAL NURSE PRACTITIONER)
- **Authorized official phone:** (313) 720-7950

## Contact information

- **Practice address:** 3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
- **Practice address phone:** (248) 898-5000
- **Mailing address:** 47161 BAYVIEW CT, CANTON, MI 48188-2171
- **Mailing address phone:** (313) 720-7950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2025
- **Last updated:** 11/06/2025