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

Mrs. Renee Annette Mirovsky, NP

Individual provider Adult Health Nurse Practitioner · NPI 1740461185

Mrs. Renee Annette Mirovsky, NP is a Nurse Practitioner in Waterford, Michigan. Qualified in 2001, 25 years ago. Practices with North Oakland Internists, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

4576 W Walton Blvd
Waterford, MI 48329-4077
Phone: (248) 673-6633
Fax: (248) 673-6677
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704195563 (MI)

Record details

NPI number1740461185
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 14, 2007
Last updated in NPPESNovember 14, 2007
Mailing address4576 W Walton Blvd, Waterford, MI 48329-4077

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice North Oakland Internists, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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