Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Renee Annette Mirovsky, NP

Individual provider Adult Health Nurse Practitioner · NPI 1740461185

Mrs. Renee Annette Mirovsky, NP is a Nurse Practitioner in Waterford, Michigan. Qualified in 2001, 25 years ago. Practices with North Oakland Internists, PC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
25
Licensed in
MI
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4576 W Walton Blvd
Waterford, MI 48329-4077
Phone: (248) 673-6633
Fax: (248) 673-6677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704195563 (MI)

Record details

NPI number1740461185
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedNovember 14, 2007
Last updated in NPPESNovember 14, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice North Oakland Internists, Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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