=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265837959
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIE ELIZABETH ORDIWAY RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/24/2014
-----------------------------------------------------
Last Update Date | 07/22/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4473 220TH AVE
-----------------------------------------------------
City | REED CITY
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49677-8593
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-884-8145
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2229 6TH AVE
-----------------------------------------------------
City | CADILLAC
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49601-9664
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-884-8145
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WC0400X
-----------------------------------------------------
Taxonomy Name | Case Management Registered Nurse
-----------------------------------------------------
License Number | 4704296479
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------