Marcella Mosey
Individual provider Active NPI Licensed Practical Nurse · Port Austin, MI
NPI 1629638424 · NPPES record last updated Jun 14, 2019
Key facts
- NPI
- 1629638424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703055745 (MI)
- Practice address
- 3200 Oak Beach Rd
Port Austin, MI 48467-9767 - Phone
- (989) 424-8082
- NPI assigned
- Jun 14, 2019
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703055745 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703055745 | MI | Yes |
Addresses
Primary practice location
3200 Oak Beach Rd
Port Austin, MI 48467-9767
Mailing address
3200 Oak Beach Rd
Port Austin, MI 48467-9767
Other providers in Port Austin, MI
- Abigail Kasper-Ahearn
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- Caitlin Nora Noble
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- Caitlin Ann Ruth
- Youre Worth It Counseling Services LLC
All providers in Port Austin, MI · Licensed Practical 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 Jun 14, 2019. 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.