Mjo Dermal Rescue Inc

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

MJO DERMAL RESCUE INC

Doing business as

Our Little Secret Aesthetics

Practice address

4181 Windmill Farms
Milford, MI 48380-4279

Phone

(248) 804-4323

NPI assigned

Apr 18, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary Jo Oldford, N.P.

Title

President

Phone

(248) 804-4323

Specialties & licenses 1

Addresses

Other names 1

• Our Little Secret Aesthetics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1013274844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 WINDMILL FARMS",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483804279",
            "telephone_number": "248-804-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 WINDMILL FARMS",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483804279",
            "telephone_number": "248-804-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJO DERMAL RESCUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "OLDFORD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-804-4323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Little Secret Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Wound Care Registered Nurse in Milford, MI
• Providers in Milford, MI by specialty
• Wound Care Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.