Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285592162 Individual Practitioner Female Practitioner

Emma Kristine Mandouh , NP

Nurse Practitioner • Warren, MI

Professional Overview & Biography Verified Profile Summary

Emma Mandouh, NP is a registered healthcare professional specializing in Nurse Practitioner in Warren, MI. Practice services are available at 21230 DEQUINDRE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21230 Dequindre Rd

Warren, MI 480912279

Telephone 5864271000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Warren, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
30 Specialists

Practicing in Warren, MI (3626 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-21
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704362447

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MI 4704362447

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Dr. Firras Garada , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1073008371

Doctor of Podiatric Medicine

Dr. Joshua Riegelhaupt , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1093237596

Doctor of Podiatric Medicine

Dr. Maria Doan , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1366827198

Doctor of Podiatric Medicine

Dr. Daniel Lee , MD

Anesthesiology

NPI 1376571133

Doctor of Medicine (M.D.)

Lauren Singh

Podiatrist - Foot & Ankle Surgery

NPI 1376887323
NPI 1477049260

Doctor of Podiatric Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 21, 2026

Registered at 21230 DEQUINDRE RD, WARREN, MI 480912279 (Tel: 5864271000)

📍
Updated Business Mailing Address July 21, 2026

Registered at 21230 DEQUINDRE RD, WARREN, MI 480912279

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2026

Registered Nurse (License #4704362447 in MI)

NPI Profile Active January 12, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2026

Registered at 3400 E JOLLY RD, LANSING, MI 489108542 (Tel: 5179978181)

📍
Updated Business Mailing Address January 12, 2026

Registered at 3400 E JOLLY RD, LANSING, MI 489108542

👤
Provider Name / Credentials Updated January 12, 2026

Recorded as EMMA MANDOUH, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2026

Registered Nurse (License #4704362447 in MI)

🟢
Initial NPI Registration & Enumeration January 12, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285592162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2026
Last Update: July 21, 2026
Sole Proprietor: No

Mailing Address

21230 Dequindre Rd

Warren, MI 480912279

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.