Individual
MRS. SCARLETT IDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8631 W VERNOR HWY STE 1A, DETROIT, MI 48209-3420
(313) 889-2000
(313) 889-3000
Mailing address
8631 W VERNOR HWY STE 1A, DETROIT, MI 48209-3420
(313) 889-2000
(313) 889-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704325475
MI
363LF0000X
Family Nurse Practitioner
Primary
4704325475
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316520653
—
MI
05
—
4704325475
—
MI
Enumeration date
05/04/2021
Last updated
02/01/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us