NPI 1336299767 · live from the CMS NPI Registry
Patricia Sue Beierwaltes, CPNP
Nurse Practitioner, Pediatrics in Detroit, MI. National Provider Identifier 1336299767, active.
NPI record
| NPI | 1336299767 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | Children'S Hospital Of Michigan, 3901 Beaubien Blvd., Detroit, MI 48201 |
| Practice phone | 313-745-5226 |
| Mailing address | 750 Lakepointe St, Grosse Pointe Park, MI 48230 |
| Enumerated | January 10, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704139472 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.