Joyce A Bonventre, RN
Individual provider Active NPI Registered Nurse · Wyandotte, MI
NPI 1407067036 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407067036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704158474 (MI)
- Practice address
- 2333 Biddle St
Wyandotte, MI 48192-4668 - Phone
- (734) 246-9597
- Fax
- (734) 246-6990
- NPI assigned
- May 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704158474 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Wyandotte Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704158474 | MI | Yes |
Addresses
Primary practice location
2333 Biddle St
Wyandotte, MI 48192-4668
Mailing address
2333 Biddle St
Wyandotte, MI 48192-4668
Phone (734) 246-9597
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704158474 | Other | MI | STATE LICENSE |
Other names
- Joyce Swantner
Other providers in Wyandotte, MI
- Amy Lynn Bliss
- Robin Alan Blumer
- Karen Christine Bochenek
- Hannah Marie Bolsley
- Bridget Antonia Bonello
- Micah Noel Boone
- Austin Henry Boots
- Michael D Bork
- Lisa Marie Boucher
- Jimmy Roger Boutin
All providers in Wyandotte, MI · Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.