Wandalitta Ford-Miller
Individual provider Active NPI Community Health Worker · Clawson, MI
NPI 1023779642 · NPPES record last updated Jan 5, 2022
Key facts
- NPI
- 1023779642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 125 School Ave
Clawson, MI 48017-1275 - Phone
- (248) 825-6297
- Fax
- (888) 681-6053
- NPI assigned
- Jan 5, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | Yes |
Addresses
Primary practice location
125 School Ave
Clawson, MI 48017-1275
Mailing address
125 School Ave
Clawson, MI 48017-1275
Phone (248) 825-6297
Other providers in Clawson, MI
- Ariel Feldman
- Robert R. Feldman
- Michael Fenton
- Flossin in Clawson
- Tasondra Foltz
- Vickie Foster
- Lawrence S. Freedman
- Heather J Fuller
- Gaps Health Mi P.C.
- Garden City Chiropractic PLLC
All providers in Clawson, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2022. 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.