Healthcare Provider Details

I. General information

NPI: 1720318553
Provider Name (Legal Business Name): JODI ANN MAIDA FNP- BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JODI ANN WOJCIECHOWSKI NP

II. Dates (important events)

Enumeration Date: 12/29/2009
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5570 STATE ST STE 2
SAGINAW MI
48603-3582
US

IV. Provider business mailing address

900 COOPER AVE
SAGINAW MI
48602-5182
US

V. Phone/Fax

Practice location:
  • Phone: 989-583-0100
  • Fax: 989-583-0108
Mailing address:
  • Phone: 989-583-0100
  • Fax: 989-583-0108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704185313
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: