Individual
DESARA PREDUCAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, FNP-BC
Contact information
Practice address
35284 23 MILE RD, NEW BALTIMORE, MI 48047-2096
(586) 335-3573
Mailing address
35284 23 MILE RD, NEW BALTIMORE, MI 48047-2096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704351329
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022090598
ANCC
MI
Enumeration date
02/13/2023
Last updated
01/05/2025
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