MEDICARE: MRS. AMELIA MCDONALD-APLIN PMHNP-BC

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	163W00000X	Registered Nurse	4704271175	MI
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	4704271175	MI

General Provider Information

NPI Number	:	1942643101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMELIA MCDONALD-APLIN PMHNP-BC

Provider Business Mailing Address
First Line	:	3948 FARNUM ST
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-2763
Country	:	US
Telephone Number	:	734-837-9784
Fax Number	:	734-274-4554

Provider Business Practice Location Address
First Line	:	3948 FARNUM ST
Second Line	:
City	:	INKSTER
State	:	MI
Zip	:	48141-2763
Country	:	US
Telephone Number	:	734-837-9784
Fax Number	:	734-274-4554

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

Provider Enumeration Date	:	04/08/2013
Last Update Date	:	01/15/2026

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