Organization
HENRY FORD HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON PHILLIPS (PROVIDER ENROLLMENT SPECIALIST)
(313) 874-2892
Entity
Organization
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
830190
MI
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LN0000X
Neonatal Nurse Practitioner
—
—
363LN0005X
Critical Care Neonatal Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
10/31/2006
Last updated
09/06/2024
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