NPI 1174922884

Jeremy Kudzia

Practitioner Registered Nurse Saint Clair Shores, MI

Practice location

Address: 25401 Harper Ave STE 2, Saint Clair Shores, MI 48081-2248
Phone: (586) 469-6912
Mailing address: 42383 Garfield Rd Unit 381131, Clinton Township, MI 48038-7737

Registered specialties (2)

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 4704307001 (MI)

Other Registered Nurse providers in Michigan →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 4704307001 (MI)

Other Nurse Practitioner providers in Michigan →

Registry record

NPI: 1174922884
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2014
Record last updated: 6 Jan 2025

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.