Marcia Allen, RN

Individual provider Active NPI Home Health Registered Nurse · Wyoming, MI

NPI 1508366295 · NPPES record last updated Feb 19, 2018

Key facts

NPI
1508366295
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
4704126888 (MI)
Practice address
1853 R W Berends Dr SW
Wyoming, MI 49519-4955
Phone
(616) 534-9300
NPI assigned
Feb 19, 2018
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704126888MIMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 4704126888 MI Yes

Addresses

Primary practice location

1853 R W Berends Dr SW
Wyoming, MI 49519-4955

Mailing address

8211 Alaska Ave SE
Caledonia, MI 49316-9580

Other providers in Wyoming, MI

All providers in Wyoming, MI · Home Health Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.