NPI 1699149880 · live from the CMS NPI Registry
Adriana Benedetto Benedetto, CPNP
Nurse Practitioner, Pediatrics in Ypsilanti, MI. National Provider Identifier 1699149880, active.
NPI record
| NPI | 1699149880 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 4936 W Clark Rd, Suite 101, Ypsilanti, MI 48197 |
| Practice phone | 734-434-3000 |
| Mailing address | 24 Frank Lloyd Wright Dr, Po Box 0446 Lobby J, Ann Arbor, MI 48105 |
| Enumerated | November 25, 2015 |
| Last updated | December 30, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704292740 (MI) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 4704292740 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.