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NPI Code Detail

MEDICARE: RYAN NICOLE MUMPFIELD

MEDICARE: RYAN NICOLE MUMPFIELD
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1598614158
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN NICOLE MUMPFIELD
Provider Business Mailing Address
First Line : 6309 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48207-2302
Country : US
Telephone Number : 313-921-4700
Fax Number :
Provider Business Practice Location Address
First Line : 6309 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48207-2302
Country : US
Telephone Number : 313-921-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

Similar Medicare Providers

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1861602286 — KAREN ELENA BLACK RN
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1033349949 — MR. ARTHUR L WEBSTER CAC-M
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48207-2302
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Directions to “ RYAN NICOLE MUMPFIELD ” Practice Location

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