MEDICARE: WENDY ANN SCHILL ACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	4704217631	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568761393
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY ANN SCHILL ACNP-BC

Provider Business Mailing Address
First Line	:	37399 GARFIELD RD STE 104
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48036-3672
Country	:	US
Telephone Number	:	586-286-5400
Fax Number	:	586-576-6263

Provider Business Practice Location Address
First Line	:	37399 GARFIELD RD STE 104
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48036-3672
Country	:	US
Telephone Number	:	586-286-5400
Fax Number	:	586-576-6263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2011
Last Update Date	:	07/13/2023

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