Individual
ALEXANDRINA BERGHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(734) 637-3254
Mailing address
PO BOX 531841, LIVONIA, MI 48153-1841
(734) 637-3254
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG07170065
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704204523
RN LICENSE
MI
01
—
AG07170065
NP CERTIFICATE
MI
Enumeration date
01/12/2018
Last updated
01/12/2018
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