Motor City Drip Hydration And Wellness Llc

Nurse Practitioner · Southfield, MI

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At a glance

21701 W 11 Mile Rd Ste 11, Southfield, MI 48076-3713

NPPES record updated Feb 8, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713

Professional details: NPI, taxonomy & registry record

NPI1356156368

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Registry details

Primary taxonomy: Nurse Practitioner
Taxonomy code: 363L00000X
Enumeration date: Feb 8, 2025
Record updated: Feb 8, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Nurse Practitioner

363L00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

21701 W 11 Mile Rd Ste 11
Southfield, MI 48076-3713

Phone: (833) 221-4169

Mailing address

21701 W 11 MILE RD STE 11

SOUTHFIELD, MI 480763713

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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