Individual
ADINA DERECICHEI PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
15717 15 MILE RD, CLINTON TOWNSHIP, MI 48035-2101
(586) 285-3850
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704293368
MI
363LF0000X
Family Nurse Practitioner
Primary
4704293368
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704293368
FNP LICENSE NUMBER
MI
Enumeration date
10/04/2019
Last updated
02/10/2025
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