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

Michigan State University

Organization Registered Nurse · NPI 1639253784

Michigan State University is a Registered Nurse in East Lansing, Michigan. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
7

Practice location Address checks out

804 Service Rd Ste A142
East Lansing, MI 48824-7015
Phone: (517) 353-3050
Fax: (517) 432-3742
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Registered Nurse Taxonomy 163W00000X
Rheumatology Physician Taxonomy 207RR0500X
Physician Assistant Taxonomy 363A00000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Pediatric Nurse Practitioner Taxonomy 363LP0200X
Women's Health Nurse Practitioner Taxonomy 363LW0102X

Record details

NPI number1639253784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rucker — Enrollment & Patient Accts Manager · (517) 884-2976
NPI enumeratedOctober 25, 2006
Last updated in NPPESApril 5, 2018
Mailing address804 Service Rd # A109f, East Lansing, MI 48824-7015

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