MEDICARE: MARY WOLLER FNP

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	363LF0000X	Family Nurse Practitioner	4704196723	MI

General Provider Information

NPI Number	:	1932704004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY WOLLER FNP

Provider Business Mailing Address
First Line	:	7021 WINN RD
Second Line	:
City	:	LYNN
State	:	MI
Zip	:	48097-1522
Country	:	US
Telephone Number	:	810-300-5142
Fax Number	:

Provider Business Practice Location Address
First Line	:	4675 HILL ST
Second Line	:
City	:	CASS CITY
State	:	MI
Zip	:	48726-1099
Country	:	US
Telephone Number	:	989-872-2121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2020
Last Update Date	:	12/04/2020

Similar Medicare Providers

1104023118 — BINU MALHOTRA MD
Practice Location Address:

4675 HILL ST
CASS CITY, MI
48726-1099

Practice Phone: 989-912-6626
Practice Fax: 989-912-6008

1700237468 — LONG HOANG NGUYEN M.D.
Practice Location Address:

4675 HILL ST
CASS CITY, MI
48726-1099

Practice Phone: 989-872-2121
Practice Fax:

1184381923 — MRS. NIKKI RUTH GLAZA MSN, FNP-BC
Practice Location Address:

4675 HILL ST
CASS CITY, MI
48726-1099

Practice Phone: 989-872-2121
Practice Fax:

1205553633 — DANA RAE HART NP-C
Practice Location Address:

4675 HILL ST
CASS CITY, MI
48726-1099

Practice Phone: 989-872-2121
Practice Fax:

1003811761 — DR. DAVID A JACOBY DOCTOR OF OPTOMETRY
Practice Location Address:

131 W MARKET ST STE A
OSAGE CITY, KS
66523-1099

Practice Phone: 785-528-4136
Practice Fax: 785-528-3422

1548338833 — INTERFACE PSYCHOLOGICAL SERVICES, INC.
Practice Location Address:

508 E SOUTH TEMPLE STE 201
SALT LAKE CITY, UT
84102-1099

Practice Phone: 801-328-8817
Practice Fax: 801-366-4284

Directions to “ MARY WOLLER FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.