Aniysa Wylie
Individual provider Active NPI Other Technician · Eastpointe, MI
NPI 1235530767 · NPPES record last updated Sep 16, 2014
Key facts
- NPI
- 1235530767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 15321 Sprenger Ave
Eastpointe, MI 48021-3609 - Phone
- (734) 205-7522
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | MI | Yes |
Addresses
Primary practice location
15321 Sprenger Ave
Eastpointe, MI 48021-3609
Mailing address
15321 Sprenger Ave
Eastpointe, MI 48021-3609
Phone (734) 205-7522
Other providers in Eastpointe, MI
- Stephanie Ann Woodall
- Woodward Detroit CVS, L.L.C.
- Chenelle Denise Wright
- Elonda Wright
- Yvonne Wright
- X-Ray Treatment Center
- Kenyetta Yancey
- Yong Soo So, M.D., P.C.
- Omar Young
- Za Primary Care
All providers in Eastpointe, MI · Other Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2014. 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.