Individual
ANDREW JOSEPH PLAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, RN, AGACNP-BC
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(313) 982-5045
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1865
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704314901
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704314901
MI
Other
Enumeration date
06/24/2019
Last updated
07/28/2022
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