Gayle Willett, RN – Registered Nurse in Roscommon, MI

Key facts

NPI: 1124242011
Entity type: Individual (NPI type 1)
Primary specialty: Registered Nurse 163W00000X
License: 4704151085 (MI)
Practice address: 8085 N Everett Rd
Roscommon, MI 48653-9212
Phone: (989) 275-8385
Fax: (989) 275-7009
NPI assigned: Apr 12, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Caring Touch Nursing Home Health Agency · Roscommon, MI · NPI 1154424166

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Nurse

State licenses

License	State	Type	Specialty
4704151085	MI	MD	Registered Nurse

Practice roles

Organization	Specialty	Status	New patients
Caring Touch Nursing		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Nurse	163W00000X	4704151085	MI	Yes

Addresses

Primary practice location

8085 N Everett Rd
Roscommon, MI 48653-9212

Mailing address

8085 N Everett Rd
Roscommon, MI 48653-9212
Phone (989) 275-8385

Other identifiers

Identifier	Type	State	Issuer
47-04-151085	Medicaid	MI

Other providers in Roscommon, MI

All providers in Roscommon, MI · Registered 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, 2007. 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.

Verify at the official NPI Registry.