NPI 1013442748

Osamuede Precious Idemudia

Practitioner Licensed Practical Nurse Novi, MI

Practice location

Address: 41521 W 11 Mile Rd, Novi, MI 48375-1803
Phone: (248) 299-0030

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 4703117411 (MI)

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Registry record

NPI: 1013442748
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2017
Record last updated: 1 May 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.