IndividualActive
Prachi Dave
NPI 1790641975 · Administrator Registered Nurse · Detroit, MI
Provider details
- NPI number
- 1790641975
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1103370 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2911 W Grand Blvd Apt 4137
Detroit, MI 48202-2682
Registry dates
- Enumerated
- 2025-12-31
- Last updated
- 2025-12-31
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.