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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NIDA KASED

Active Sole Proprietor

NIDA KASED is a Nurse Practitioner healthcare provider located in GIBRALTAR, Michigan. NPI 1568055275 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · GIBRALTAR, MI

Registration Details

NPI Number
1568055275
Provider Type
Individual
Gender
Female
NPI Issued
Feb 12, 2021 (5.3214455699348 yrs)
Last Updated
Oct 29, 2021
Licenses
1020387 (MI)
4704350057 (MI)
4704350057 (MI)
Sole Proprietor
Yes

Practice Information

Address
19850 M GIBRALTAR RD
GIBRALTAR, MI, 481738701
Browse MI providers · Browse ZIP 48173
Phone
7343013125
Fax
7343013325
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Registered Nurse
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.