Joanne Adrian, NP

Individual provider Active NPI Family Nurse Practitioner · Lansing, MI

NPI 1013017086 · NPPES record last updated Jul 17, 2007

Key facts

NPI
1013017086
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
4704064368 (MI)
Practice address
5303 S Cedar St
Lansing, MI 48911-3800
Phone
(517) 887-4302
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704064368MIMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704064368 MI Yes

Addresses

Primary practice location

5303 S Cedar St
Lansing, MI 48911-3800

Mailing address

5303 S Cedar St
Lansing, MI 48911-3800

Other identifiers

IdentifierTypeStateIssuer
231894OtherMIMEDICARE UGS
OM77560OtherMIICHD MEDICARE GROUP PROVI
773093756MedicaidMI

Other providers in Lansing, MI

All providers in Lansing, MI · Family Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.