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NPI Code Detail

MEDICARE: SUSAN DENISE MONTEI RN-WHNP

MEDICARE: SUSAN DENISE MONTEI RN-WHNP
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
1363LW0102XWomen's Health Nurse Practitioner4704117500MI

General Provider Information

NPI Number : 1649254921
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN DENISE MONTEI RN-WHNP
Provider Business Mailing Address
First Line : 1551 N SHERIDAN RD
Second Line :
City : FAIRGROVE
State : MI
Zip : 48733-9542
Country : US
Telephone Number : 989-895-4015
Fax Number : 989-892-2438
Provider Business Practice Location Address
First Line : 1200 WASHINGTON AVE
Second Line :
City : BAY CITY
State : MI
Zip : 48708-5756
Country : US
Telephone Number : 989-895-4015
Fax Number : 989-892-2438
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 07/08/2007

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Directions to “ SUSAN DENISE MONTEI RN-WHNP” Practice Location

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