MEDICARE: PREGNANCY HELPLINE

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
1	363LW0102X	Women's Health Nurse Practitioner

General Provider Information

NPI Number	:	1316587678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREGNANCY HELPLINE

Provider Business Mailing Address
First Line	:	7743 GRAND RIVER AVENUE
Second Line	:	SUITE 101
City	:	BRIGHTON
State	:	MI
Zip	:	48114-9349
Country	:	US
Telephone Number	:	810-494-5433
Fax Number	:	517-798-5663

Provider Business Practice Location Address
First Line	:	7743 GRAND RIVER AVENUE
Second Line	:	SUITE 101
City	:	BRIGHTON
State	:	MI
Zip	:	48114-9349
Country	:	US
Telephone Number	:	810-494-5433
Fax Number	:	517-798-5663

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHARON BOLEY
Credential	:
Telephone Number	:	810-494-5433

Provider Enumeration Date	:	01/14/2020
Last Update Date	:	01/14/2020

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Directions to “PREGNANCY HELPLINE ” Practice Location

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