NPI 1215570957 · live from the CMS NPI Registry
Ronia Berry, PNP-PC
Nurse Practitioner, Pediatrics in Dearborn, MI. National Provider Identifier 1215570957, active.
NPI record
| NPI | 1215570957 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 6401 Miller Rd, Dearborn, MI 48126 |
| Practice phone | 313-846-8800 |
| Mailing address | 23711 Hudson St, Dearborn, MI 48124 |
| Enumerated | October 25, 2019 |
| Last updated | October 25, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704304141 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.