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NPI Code Detail

MEDICARE: NANCY RENEE GUSSIN

MEDICARE: NANCY RENEE GUSSIN
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
11041C0700XClinical Social Worker6801114815MI

General Provider Information

NPI Number : 1033240809
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY RENEE GUSSIN
Provider Business Mailing Address
First Line : 3970 HERITAGE AVE
Second Line :
City : OKEMOS
State : MI
Zip : 48864-3344
Country : US
Telephone Number : 517-507-5892
Fax Number :
Provider Business Practice Location Address
First Line : 3970 HERITAGE AVE
Second Line :
City : OKEMOS
State : MI
Zip : 48864-3344
Country : US
Telephone Number : 517-507-5892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 03/06/2026

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Directions to “ NANCY RENEE GUSSIN ” Practice Location

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