Barbara Elaine Servant

Individual provider Active NPI Licensed Practical Nurse · Hopkins, MI

NPI 1376105296 · NPPES record last updated Jul 1, 2019

Key facts

NPI
1376105296
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703065803 (MI)
Practice address
2741 136TH Ave Unit 227
Hopkins, MI 49328-8521
Phone
(269) 598-2576
NPI assigned
Jul 1, 2019
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

LicenseStateTypeSpecialty
4703065803MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703065803 MI Yes

Addresses

Primary practice location

2741 136TH Ave Unit 227
Hopkins, MI 49328-8521

Mailing address

2741 136TH Ave Unit 227
Hopkins, MI 49328-8521

Other providers in Hopkins, MI

All providers in Hopkins, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.