Wanda Lynn Hesse, CNA
Individual provider Active NPI Nurse's Aide · Freeland, MI
NPI 1619206232 · NPPES record last updated Feb 20, 2012
Key facts
- NPI
- 1619206232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- License
- 230014337381108 (MI)
- Practice address
- 2626 Salzburg
Freeland, MI 48623-9371 - Phone
- (989) 482-6632
- Fax
- (989) 695-4001
- NPI assigned
- Dec 10, 2009
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230014337381108 | MI | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| At Home Care for You LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | 230014337381108 | MI | Yes |
Addresses
Primary practice location
2626 Salzburg
Freeland, MI 48623-9371
Mailing address
2620 Salzburg Rd
Freeland, MI 48623-9371
Phone (989) 482-6632
Other providers in Freeland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2012. 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.