Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 4704285993 | MI |
N | 363LA2200X | Nurse Practitioner - Adult Health | 4704285993 | MI |
N | 363LG0600X | Nurse Practitioner - Gerontology | 4704285993 | MI |
N | 363LP2300X | Nurse Practitioner - Primary Care | 4704285993 | MI |
NPI | 1003371899 |
---|---|
Provider Name | Ms. Rattan Nagi |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2019 |
Last Update Date | 17/01/2022 |