Provider Demographics
NPI:1154897809
Name:MARTINESCUL, LIGIA (CNP)
Entity type:Individual
Prefix:
First Name:LIGIA
Middle Name:
Last Name:MARTINESCUL
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:LIGIA
Other - Middle Name:
Other - Last Name:FILIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:49378 DUNHILL DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48044-1739
Mailing Address - Country:US
Mailing Address - Phone:586-610-0452
Mailing Address - Fax:
Practice Address - Street 1:43361 COMMONS DR
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1109
Practice Address - Country:US
Practice Address - Phone:586-745-3006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-21
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704314323363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner