Mary Emma Austin, RN
Individual provider Active NPI Community Health Registered Nurse · Adrian, MI
NPI 1174079966 · NPPES record last updated Aug 31, 2016
Key facts
- NPI
- 1174079966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 4704120163 (MI)
- Practice address
- 1040 S Winter St
Suite 1022
Adrian, MI 49221-3876 - Phone
- (517) 263-8905
- Fax
- (517) 759-3903
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 4704120163 | MI | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenawee Community Mental Health Authority | Past | Accepting new patients | |
| Lenawee Community Mental Health Authority | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 4704120163 | MI | Yes |
Addresses
Primary practice location
1040 S Winter St
Suite 1022
Adrian, MI 49221-3876
Mailing address
1040 S Winter St
Adrian, MI 49221-3876
Phone (517) 263-8905
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383400932 | Medicaid | MI |
Other providers in Adrian, MI
- Ashley Hudson, LPC
- Athletico LTD
- Athletico LTD
- Hamza A Aurakzai
- Courtney Austin
- Marthe Ayers
- Melissa Marie Baer
- Reid Keeley Bahr
- John Clark Bailey
- Abigail Baker
All providers in Adrian, MI · Community Health 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 Aug 31, 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.