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

Henry Ford Health System

Organization Nurse Practitioner · NPI 1104900455

Henry Ford Health System is a Nurse Practitioner in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
Specialties on file
3

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 830190 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1104900455
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Ratowski — Director-Provider Affairs · (248) 703-2003
NPI enumeratedOctober 24, 2006
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address2799 W Grand Blvd, Detroit, MI 48202-2608

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