Individual
NADA SAREINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
18610 FENKELL ST, DETROIT, MI 48223
(313) 723-6000
(313) 424-4058
Mailing address
18610 FENKELL ST, DETROIT, MI 48223-2378
(313) 723-6000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704238291
MI
363LG0600X
Gerontology Nurse Practitioner
Primary
4704238291
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG02180131
BOARD CERTIFICATION
MI
Enumeration date
04/02/2018
Last updated
08/02/2018
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