Individual
ALLA AKSENCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 465-3111
(248) 465-3112
Mailing address
4629 DARLENE DR, COMMERCE TOWNSHIP, MI 48382-1485
(248) 366-6855
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
4704223342
MI
363LN0000X
Neonatal Nurse Practitioner
Primary
4704223342
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704223342
STATE LICENSE
MI
Enumeration date
11/24/2009
Last updated
02/18/2020
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