Nussdorfercnp LLC

NPI #1871203703 in Mason, Michigan

Provider Information

NPI Number: 1871203703
Entity Type: Organization
Organization Name: Nussdorfercnp LLC
Primary Specialty: Clinical Nurse Specialist - Psychiatric/Mental Health, Adult
Enumeration Date: Dec 1, 2022
Last Updated: Apr 11, 2023

Practice Location

Address: 806 HOGSBACK RD STE C
City: Mason
State: Michigan
ZIP Code: 48854-8525
Phone: (517) 213-8419

Authorized Official

Name: MARY BETH HOUPT
Title: CREDENTIALING
Phone: (517) 676-9797

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult — Psychiatric/Mental Health, Adult	364SP0809X	Primary

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Provider Name	Specialty	City
MR. Morgan Bowen, DNP, PMHNP-BC	Clinical Nurse Specialist - Psychiatric/Mental Health, Adult	Mason	AI Deep Dive
Shari A Nussdorfer, C.N.P.	Clinical Nurse Specialist - Psychiatric/Mental Health, Adult	Mason	AI Deep Dive
MRS. Marina Vicini Pokriefka, CNS	Clinical Nurse Specialist - Psychiatric/Mental Health, Adult	Davisburg	AI Deep Dive

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