| NPI | 1962396440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE CYRUS Owner 586-337-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| 363LF0000X Nurse Practitioner, Family | |
| 163WG0000X Registered Nurse, General Practice | |
| Enumeration Date | 2025-06-07 |
| Last Update Date | 2025-06-07 |