Polly Lou Chesser, RN
Individual provider Active NPI Registered Nurse · Manitou Beach, MI
NPI 1447096474 · NPPES record last updated Jul 9, 2024
Key facts
- NPI
- 1447096474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704202125 (MI)
- Practice address
- 13149 US Highway 223
Manitou Beach, MI 49253-9521 - Phone
- (517) 442-9506
- NPI assigned
- Jul 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 4704202125 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704202125 | MI | Yes |
Addresses
Primary practice location
13149 US Highway 223
Manitou Beach, MI 49253-9521
Mailing address
13149 US Highway 223
Manitou Beach, MI 49253-9521
Phone (517) 442-9506
Other providers in Manitou Beach, MI
- Bailey Feekings
- Front Porch Living Home Care Inc.
- Christina Jones
- KSK Medical PLLC
- Lakeview Family Counseling Center LLC
All providers in Manitou Beach, 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 9, 2024. 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.