Constantine Nboumen

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

4703115370 Issued in MI

Practice address

6223 N Canton Center Rd Ste 201
Canton, MI 48187-2696

Phone

(734) 844-6533

Fax

(734) 667-5079

NPI assigned

Sep 7, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441584000000",
    "number": "1467820522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6223 N CANTON CENTER RD STE 201",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872696",
            "telephone_number": "734-844-6533",
            "fax_number": "734-667-5079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6223 N CANTON CENTER RD STE 201",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872696",
            "telephone_number": "734-844-6533",
            "fax_number": "734-667-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NBOUMEN",
        "first_name": "CONSTANTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4703115370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeyaad-Ali Nathoo
• National Vision, Inc.
• Erlinda Navarro-Oca, MD
• Christine Emanuel Naydenov, PSYD
• Nazima Hafeez MD PLLC
• Elizabeth Ndisang
• Megan Neary
• Maria L Neino, ABOC
• Nephrology and Critical Care PLLC
• New Beginnings Counseling Services and Solutions PLLC

• Licensed Practical Nurse in Canton, MI
• Providers in Canton, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.