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NPI Code Detail

MEDICARE: LORRAINE ADALINE GETKIN NURSE PRACTITIONER

MEDICARE: LORRAINE ADALINE GETKIN NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner4704207150MI

General Provider Information

NPI Number : 1730438573
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRAINE ADALINE GETKIN NURSE PRACTITIONER
Provider Business Mailing Address
First Line : PO BOX 8209
Second Line :
City : VIENNA
State : VA
Zip : 22183-2058
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3200 GREENFIELD RD STE 300
Second Line :
City : DEARBORN
State : MI
Zip : 48120-1805
Country : US
Telephone Number : 855-479-4217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2012
Last Update Date : 05/07/2024

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Directions to “ LORRAINE ADALINE GETKIN NURSE PRACTITIONER” Practice Location

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