Louise Fraser Petrucci, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704181297 Issued in MI

Practice address

4300 Marseilles St
Detroit, MI 48224-1479

Phone

(313) 290-2250

NPI assigned

May 16, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1750172839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARSEILLES ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241479",
            "telephone_number": "313-290-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSEILLES ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482241479",
            "telephone_number": "313-290-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUCCI",
        "first_name": "LOUISE",
        "middle_name": "FRASER",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704181297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vilija Petrauskas, PHD
• Anthony Petrillo, MD
• Christy A Petroff, MD
• Labina Petrovska, MD
• Samantha Rose Petrovski
• Alicia Haley Petrunak
• Justin David Petrusak, LMSW
• John Paul Petrykowski, DO
• Robert Pettaway
• Jimeka Pettes, MD

• Registered Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.