Charlene Brockway
Individual provider Active NPI Home Health Registered Nurse · Dundee, MI
NPI 1689263295 · NPPES record last updated Jan 18, 2021
Key facts
- NPI
- 1689263295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 4704308738 (MI)
- Practice address
- 100 Powell Dr
Dundee, MI 48131-8644 - Phone
- (517) 266-2481
- NPI assigned
- Jan 18, 2021
- 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 |
|---|---|---|---|
| 4704308738 | MI | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 4704308738 | MI | Yes |
Addresses
Primary practice location
100 Powell Dr
Dundee, MI 48131-8644
Mailing address
100 Powell Dr
Dundee, MI 48131-8644
Other providers in Dundee, MI
- Barnum Street Dental Services PLLC
- Jennifer Lynn Beri
- Kary Ann Bice
- Bio-Medical Applications of Michigan, Inc.
- Heather Boyd
- Megan Brooks
- Sarah Brown
- Catherine McAuley Health Services
- Kristen Lynne Chapman
- Drew A Cheney
All providers in Dundee, MI · Home Health 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 Jan 18, 2021. 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.