Andrea Coons
Individual provider Active NPI Case Manager/Care Coordinator · Mason, MI
NPI 1174898399 · NPPES record last updated Mar 21, 2012
Key facts
- NPI
- 1174898399
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 6803085447 (MI)
- Practice address
- 585 Jewett Rd
Mason, MI 48854-8729 - Phone
- (517) 676-5405
- Fax
- (517) 676-5460
- NPI assigned
- Mar 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6803085447 | MI | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 6803085447 | MI | Yes |
Addresses
Primary practice location
585 Jewett Rd
Mason, MI 48854-8729
Mailing address
585 Jewett Rd
Mason, MI 48854-8729
Phone (517) 676-5405
Other providers in Mason, MI
- Consumer Services Inc
- Consumer Services Inc.
- Consumer Services, Inc.
- Consumer Services, Inc.
- Corey Alan Cook
- Jonathan S Cooper
- Nitasha Cooper
- Coston Chiropractic Center PLLC
- Alan Coston Jr.
- Country Creek Afc, Inc.
All providers in Mason, MI · Case Manager/Care Coordinator in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2012. 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.