IndividualActive
Adriana Grubke, CPNP-PC
NPI 1417554106 · Pediatric Nurse Practitioner · Dearborn Heights, MI
Provider details
- NPI number
- 1417554106
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704341112 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
22318 Ford Rd
Dearborn Heights, MI 48127-2421
Phone: (313) 278-2788
Approximate (ZIP-level) locationGet directions
Mailing address
8742 W Park Ridge Cir
Newport, MI 48166-9289
Registry dates
- Enumerated
- 2020-10-06
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.