Suede, Kristina M

Suede, Kristina M is an sole proprietor health care provider with primary practice located at 1142 E 9 Mile Rd , Hazel Park MI 48030-1901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Suede, Kristina M can be contacted via phone (248) 817-4742.

Contact Information

Primary practice address
1142 E 9 Mile Rd Hazel Park MI 48030-1901
Phone: (248) 817-4742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704222743 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 4704222743 Michigan

Profile Details

NPI number 1720328420
LBN Legal business name Suede, Kristina M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2013
Last updated May 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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