Individual
JOANNE ADRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5303 S CEDAR ST, LANSING, MI 48911-3800
(517) 887-4302
Mailing address
5303 S CEDAR ST, LANSING, MI 48911-3800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704064368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231894
MEDICARE UGS
MI
05
—
773093756
—
MI
01
—
OM77560
ICHD MEDICARE GROUP PROVI
MI
Enumeration date
09/22/2006
Last updated
07/17/2007
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