Mary Mann, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

4704283139 Issued in MI

Practice address

7136 Sunset CT
White Lake, MI 48383-2869

Phone

(313) 595-7204

NPI assigned

Feb 3, 2025

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1639983547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7136 SUNSET CT",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483832869",
            "telephone_number": "313-595-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 SUNSET CT",
            "city": "WHITE LAKE",
            "state": "MI",
            "postal_code": "483832869",
            "telephone_number": "313-595-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MARY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MI",
            "license": "4704283139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lowe, LLP
• Brandy Michelle M Powers, OTRL
• M-Amin Badawi, MD PLC
• Maan Ekkah MD PC
• Anna Maddox, REGISTERED NURSE
• Michael Manzo, DPT
• Josephine Mary Marks, RN
• Heidi Martin, PHD, LLP
• Jade Erin Martinez, LLBSW
• Kendra Shirley Mathews

• Ambulatory Care Registered Nurse in White Lake, MI
• Providers in White Lake, MI by specialty
• Ambulatory Care Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.