Healthcare Provider Details

I. General information

NPI: 1174125199
Provider Name (Legal Business Name): AIMEE ROSE JUNCAJ DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AIMEE ROSE JAMES

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50505 SCHOENHERR RD STE 270
SHELBY TOWNSHIP MI
48315-3141
US

IV. Provider business mailing address

50505 SCHOENHERR RD STE 270
SHELBY TOWNSHIP MI
48315-3141
US

V. Phone/Fax

Practice location:
  • Phone: 586-323-6058
  • Fax: 586-500-8865
Mailing address:
  • Phone: 586-323-6058
  • Fax: 586-500-8865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704266751
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number1111111
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: