Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

General Medicine of La Nurse Practitioners, PC

Organization Nurse Practitioner · NPI 1417123100

General Medicine of La Nurse Practitioners, PC is a Nurse Practitioner in Novi, Michigan. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21333 Haggerty Rd Ste 150
Novi, MI 48375-5510
Phone: (248) 662-0250
Fax: (248) 662-9844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X (LA)

Record details

NPI number1417123100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Prose — President · (248) 662-0250
NPI enumeratedMay 2, 2008
Last updated in NPPESMay 2, 2008
Mailing address21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510

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