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

Annie D Kraudelt, PA

Individual provider Physician Assistant · NPI 1851542666

Annie D Kraudelt, PA is a Physician Assistant in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

21031 Michigan Ave
Dearborn, MI 48124-2339
Phone: (313) 277-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005402 (MI)

Record details

NPI number1851542666
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 10, 2008
Last updated in NPPESFebruary 21, 2012

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