Rista, Madeline Jane

Rista, Madeline Jane is an individual health care provider with primary practice located at 5450 Fort St , Trenton MI 48183-4601. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Rista, Madeline Jane can be contacted via phone (734) 642-2340.

Contact Information

Primary practice address
5450 Fort St Trenton MI 48183-4601
Phone: (734) 642-2340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704348468 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704348468 Michigan

Profile Details

NPI number 1144091935
LBN Legal business name Rista, Madeline Jane
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2024
Last updated Aug 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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