NPI 1174249726 · live from the CMS NPI Registry
Lyudmyla Barrientos, CPNP-PC
Nurse Practitioner, Pediatrics in Dearborn Heights, MI. National Provider Identifier 1174249726, active.
NPI record
| NPI | 1174249726 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 6636 N Telegraph Rd, Dearborn Heights, MI 48127 |
| Practice phone | 313-274-3123 |
| Enumerated | October 17, 2022 |
| Last updated | October 17, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704336231 (MI) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704336231 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.