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

Alicia Haley Petrunak

Individual provider Registered Nurse · NPI 1487296091

Alicia Haley Petrunak is a Registered Nurse in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2689
Phone: (313) 916-2600
Show map & directions

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

Additional practice locations (1)

  • 3671 Buckingham Ave, Berkley, MI 48072-1464 — (586) 612-8817

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704330124 (MI)

Record details

NPI number1487296091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 15, 2019
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022

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