Marie A Ahkao, NP

Individual provider Active NPI Nurse Practitioner · Ann Arbor, MI

NPI 1154530939 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1154530939
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
4704238370 (MI)
Practice address
1500 East Medical Center Dr
5TH Floor Mott Hospital RM F5790
Ann Arbor, MI 48109-0254
Phone
(734) 763-4109
NPI assigned
May 21, 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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Michigan Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704238370 MI Yes

Addresses

Primary practice location

1500 East Medical Center Dr
5TH Floor Mott Hospital RM F5790
Ann Arbor, MI 48109-0254

Mailing address

3621 S State St
700 KMS Place
Ann Arbor, MI 48108
Phone (734) 936-2047

Other providers in Ann Arbor, MI

All providers in Ann Arbor, MI · Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.