Rebecca L Critzer, LPN
Individual provider Active NPI Licensed Practical Nurse · Berkley, MI
NPI 1003237033 · NPPES record last updated Jul 8, 2016
Key facts
- NPI
- 1003237033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703047968 (MI)
- Practice address
- 2766 W 11 Mile Rd
Berkley, MI 48072-3033 - Phone
- (248) 542-2424
- NPI assigned
- Dec 17, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703047968 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703047968 | MI | Yes |
Addresses
Primary practice location
2766 W 11 Mile Rd
Berkley, MI 48072-3033
Mailing address
PO Box 721154
Berkley, MI 48072-0154
Phone (248) 542-2424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4703047968 | Other | MI | LPN LICENSE |
Other providers in Berkley, MI
- Coolidge Pharmacy
- Haley Coolsaet
- Corinn Cramer
- Maureen Renee-Strasser Creal
- Lynell Dennis Crew
- Jennifer Lynn Crowley
- Noelia Cuevas-Irrizary
- Peter F Czako
- D & D Pharmacy LLC
- Maria Dalal
All providers in Berkley, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.