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NPI Code Detail

MEDICARE: ERIN OBSNIUK CNP

MEDICARE:   ERIN  OBSNIUK  CNP
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
1363L00000XNurse Practitioner4704293066MI

General Provider Information

NPI Number : 1164906392
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN OBSNIUK CNP
Provider Business Mailing Address
First Line : 24 FRANK LLOYD WRIGHT DR LBBY J2000
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-9484
Country : US
Telephone Number : 734-747-6766
Fax Number :
Provider Business Practice Location Address
First Line : 3477 E GRAND RIVER AVE
Second Line :
City : HOWELL
State : MI
Zip : 48843-8552
Country : US
Telephone Number : 517-234-6540
Fax Number : 517-338-9083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2018
Last Update Date : 08/04/2025

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