| Procura Health Solutions Pllc | |
|
30805 Ann Arbor Trl Westland MI 48185-2482 | |
| (734) 744-7058 | |
| (609) 388-6333 |
| Full Name | Procura Health Solutions Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 30805 Ann Arbor Trl, Westland, Michigan |
| Authorized Official Name and Position | Ron Hill (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2029852191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Procura Health Solutions Pllc 30805 Ann Arbor Trl Westland MI 48185-2482 Ph: (734) 744-7058 | Procura Health Solutions Pllc 30805 Ann Arbor Trl Westland MI 48185-2482 Ph: (734) 744-7058 |
| NPI Number | 1639923782 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Medicare PECOS PAC ID | 3678915188 |
|---|---|
| Medicare Enrollment ID | O20240530000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639923782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Melissa Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912282096 PECOS PAC ID: 5496913923 Enrollment ID: I20120229000790 |
| Provider Name | Ribhi Hazin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265747463 PECOS PAC ID: 6901038140 Enrollment ID: I20140422001446 |
| Provider Name | Krystal Nella Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972364586 PECOS PAC ID: 2365984564 Enrollment ID: I20240603003597 |
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