Healthcare Provider Details

I. General information

NPI: 1235138702
Provider Name (Legal Business Name): MARGARET MARY OKEEFFE N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 WELLNESS DR
MIDLAND MI
48670-1251
US

IV. Provider business mailing address

4000 WELLNESS DR
MIDLAND MI
48670-1251
US

V. Phone/Fax

Practice location:
  • Phone: 989-633-1400
  • Fax: 989-633-1457
Mailing address:
  • Phone: 989-633-1400
  • Fax: 989-633-1457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704214627
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: