Provider Demographics
NPI:1841277597
Name:JURIGA, ANITA M (RN CNS, NP-C)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:M
Last Name:JURIGA
Suffix:
Gender:F
Credentials:RN CNS, NP-C
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:M
Other - Last Name:SHEDLOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN CNS, NP-C
Mailing Address - Street 1:4600 INVESTMENT DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098
Mailing Address - Country:US
Mailing Address - Phone:248-267-5050
Mailing Address - Fax:248-267-5051
Practice Address - Street 1:4600 INVESTMENT DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098
Practice Address - Country:US
Practice Address - Phone:248-267-5050
Practice Address - Fax:248-267-5051
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704181179364SM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SM0705XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistMedical-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N66040Medicare ID - Type Unspecified