Individual
LISA BINNS-EMERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, GCNS-BC
Contact information
Practice address
4201 ST ANTOINE STE 5B, DRH ROSA PARKS WELLNESS INSTITUTE FOR SR HEALTH, DETROIT, MI 48201
(313) 745-1741
(313) 745-8165
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1138
(313) 745-1741
(313) 745-8165
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704153550
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0866595
BCBSM PROVIDER#
MI
01
—
P32180016
MEDICARE PTAN#
MI
Enumeration date
05/31/2006
Last updated
10/14/2016
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