Phillip Glenn Lougheed, FNP-BC, RN
Individual provider Active NPI Nurse Practitioner · Bingham Farms, MI
NPI 1215528997 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1215528997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F10201475 (MI)
- Practice address
- 24255 W 13 Mile Rd
Bingham Farms, MI 48025-4320 - Phone
- (248) 723-9613
- NPI assigned
- Jan 27, 2021
- Sex
- Male
- Sole proprietor
- No
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10201475 | MI | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F10201475 | MI | Yes |
Addresses
Primary practice location
24255 W 13 Mile Rd
Bingham Farms, MI 48025-4320
Mailing address
413 Walnut Ave
Royal Oak, MI 48073-5310
Phone (810) 938-8201
Other providers in Bingham Farms, MI
- Nicole C Lombardo
- Erica Longmire
- Sarah Lopez
- Sarah Anne Lorincz
- Joseph P Loselle IV
- Low Vision Associates, P.C.
- Allison Michelle Lowe
- LTC Physician Care PC
- Marie Claire Luca
- Patricia Anne Lugger
All providers in Bingham Farms, MI · Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. 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.