Healthcare Provider Details

I. General information

NPI: 1144304379
Provider Name (Legal Business Name): JUNE VISTA-MARIA RONEY REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUNE RONEY REGISTERED NURSE

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22639 CHATSFORD CIRCUIT ST
SOUTHFIELD MI
48034-6244
US

IV. Provider business mailing address

22639 CHATSFORD CIRCUIT ST
SOUTHFIELD MI
48034-6244
US

V. Phone/Fax

Practice location:
  • Phone: 313-655-5921
  • Fax:
Mailing address:
  • Phone: 313-655-5921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704247030
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: