Genevieve Heindel
Individual provider Active NPI Registered Nurse · Reading, MI
NPI 1265809289 · NPPES record last updated Aug 25, 2015
Key facts
- NPI
- 1265809289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704089773 (MI)
- Practice address
- 6125 Fowler Rd
Reading, MI 49274-9682 - Phone
- (517) 283-2977
- NPI assigned
- Aug 25, 2015
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704089773 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704089773 | MI | Yes |
Addresses
Primary practice location
6125 Fowler Rd
Reading, MI 49274-9682
Mailing address
6125 Fowler Rd
Reading, MI 49274-9682
Phone (517) 283-2977
Other providers in Reading, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2015. 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.