Individual
MAITRI JAGDISH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE, YPSILANTI, MI 48197
(734) 712-8676
Mailing address
24 FRANK LLOYD WRIGHT DRIVE, SUITE J2000, ANN ARBOR, MI 48105
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704343259
MI
363LA2100X
Acute Care Nurse Practitioner
22287124902
MI
364SG0600X
Gerontology Clinical Nurse Specialist
4704343259
MI
Other
Enumeration date
02/09/2023
Last updated
05/13/2024
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