Susan Cahillane, RN

Individual provider Active NPI Adult Psychiatric/Mental Health Registered Nurse · Riverview, MI

NPI 1194076356 · NPPES record last updated Sep 27, 2012

Key facts

NPI
1194076356
Entity type
Individual (NPI type 1)
Primary specialty
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X
License
4704197723 (MI)
Practice address
14015 Tall Oaks CT
Riverview, MI 48193-7820
Phone
(734) 658-9266
NPI assigned
Sep 27, 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704197723MIMDAdult Psychiatric/Mental Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 4704197723 MI Yes

Addresses

Primary practice location

14015 Tall Oaks CT
Riverview, MI 48193-7820

Mailing address

14015 Tall Oaks CT
Riverview, MI 48193-7820
Phone (734) 658-9266

Other providers in Riverview, MI

All providers in Riverview, MI · Adult Psychiatric/Mental Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.