Individual
IRINA LINDBLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4201 SAINT ANTOINE ST, UHC 5A, DETROIT, MI 48201-2153
(313) 745-4525
(313) 993-0085
Mailing address
1420 STEPHENSON HWY, SUITE 400-CREDENTIALING DEPT, TROY, MI 48083-1189
(313) 745-4525
(313) 993-0085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704217349
MI
363LA2200X
Adult Health Nurse Practitioner
4704217349
MI
Other
Enumeration date
07/08/2011
Last updated
08/21/2014
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