Individual
IRINA PAPUSHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPC-C
Contact information
Practice address
31500 W 13 MILE RD STE 100, FARMINGTON HILLS, MI 48334-2172
(248) 509-4070
(248) 509-4080
Mailing address
31500 W 13 MILE RD STE 100, FARMINGTON HILLS, MI 48334-2172
(248) 509-4070
(248) 509-4080
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG12210043
MI
Other
Enumeration date
01/18/2022
Last updated
02/27/2023
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