Maureen Elizabeth Hergenreder, RN BA
Individual provider Active NPI Registered Nurse · Kawkawlin, MI
NPI 1578096434 · NPPES record last updated Apr 7, 2017
Key facts
- NPI
- 1578096434
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 4704213066 (MI)
- Practice address
- 1971 8 Mile Rd
Kawkawlin, MI 48631-9779 - Phone
- (989) 415-8566
- NPI assigned
- Apr 7, 2017
- 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
- Bachelor of Arts, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704213066 | MI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704213066 | MI | Yes |
Addresses
Primary practice location
1971 8 Mile Rd
Kawkawlin, MI 48631-9779
Mailing address
1971 8 Mile Rd
Kawkawlin, MI 48631-9779
Phone (989) 415-8566
Other providers in Kawkawlin, MI
- Melanie Corrion
- Valerie Rae Deladurantaye
- Laura Demeuse
- Jenni Hardin
- Kerensa Hecht
- Chad Alan Jacobs
- Christine Juers
- Maggie Barbara Katzinger I
- Deborah S. Koch
- Courtney Rae Kramer
All providers in Kawkawlin, 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 Apr 7, 2017. 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.