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

William Beaumont Hospitals

Organization Nurse Practitioner · NPI 1194774919

William Beaumont Hospitals is a Nurse Practitioner in Royal Oak, Michigan. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 423-2454
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1194774919
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWilliam Beaumont Hospital
Authorized official Lee Odom — President Shared Services · (947) 522-3326
Other names Beaumont Professional Services/Nurse Practioner; Beaumont Professional Services/Nurse Practioner
NPI enumeratedMay 9, 2006
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address26901 Beaumont Blvd, Compliance, Southfield, MI 48033-3842

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