Individual
MRS. SARAH KRASNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
441 S LIVERNOIS RD STE 100, ROCHESTER HILLS, MI 48307-2585
(248) 608-8800
Mailing address
24111 SOUTHFIELD RD, SOUTHFIELD, MI 48075-2841
(248) 557-8800
(248) 557-8860
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
4704154415
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704154415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500F324120
BCBSM
MI
Enumeration date
11/19/2008
Last updated
03/10/2021
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