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Andrea Clegg, NP
Nurse Practitioner in Dearborn, Michigan
NPI 1285612861

Andrea Clegg is a Nurse Practitioner based in Southfield, MI. Andrea Clegg practices in Dearborn, MI and has the professional credentials of NP. The NPI Number for Andrea Clegg is 1285612861 and holds a License No. 4704218011 (Michigan).

The current practice location address for Andrea Clegg is 22060 Beech St Ste 200, Dearborn, MI and can be reached out via phone at 313-228-0505 and via fax at 313-228-0506.

Location: 22060 Beech St Ste 200, Dearborn, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285612861
Provider Name
Andrea Clegg
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
22060 Beech St Ste 200, Dearborn, MI, 48033-3849
Phone Number
313-228-0505
Fax Number
313-228-0506
Provider Enumeration Date
01/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00380696 01 RAILROAD MEDICARE
10-4773390 05 MI
11-4941056 05 MI
10-4773362 05 MI
10-4773371 05 MI
11-4941047 05 MI
5008604240 01 MI BCBS
11-4941038 05 MI
11-4941065 05 MI
10-4773406 05 MI
11712499 01 CAQH
10-4773380 05 MI
institution
Provider Business Practice Location Address Details
Address
22060 Beech St Ste 200
City
Dearborn
State
Michigan
Zip
48124-2853
Phone Number
313-228-0505
Fax Number
313-228-0506
person
Provider Business Mailing Address Details
Address
22060 Beech St Ste 200
City
Dearborn
State
Michigan
Zip
48124-2853
Phone Number
313-228-0505
Fax Number
313-228-0506
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704218011 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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