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NPI Code Detail

MEDICARE: AYANA M SCIMENS

MEDICARE:   AYANA M SCIMENS
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
1171M00000XCase Manager/Care CoordinatorS552078578308MI

General Provider Information

NPI Number : 1194694695
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYANA M SCIMENS
Provider Business Mailing Address
First Line : 17515 W 9 MILE RD
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48075-4403
Country : US
Telephone Number : 502-536-5141
Fax Number :
Provider Business Practice Location Address
First Line : 8379 YOLANDA ST
Second Line :
City : DETROIT
State : MI
Zip : 48234-3353
Country : US
Telephone Number : 502-536-5141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2025
Last Update Date : 11/03/2025

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Directions to “ AYANA M SCIMENS ” Practice Location

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