Wellspring Comprehensive Management Company, LLC.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704203961 Issued in MI

Legal business name

WELLSPRING COMPREHENSIVE MANAGEMENT COMPANY, LLC.

Practice address

19785 W 12 Mile Rd # 354
Southfield, MI 48076-2584

Phone

(248) 224-5316

Fax

(248) 629-9194

NPI assigned

Nov 2, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karen L. Boyd, DNP, NP-C

Title

President/Ceo

Phone

(248) 224-5316

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378598400000",
    "number": "1881948594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19785 W 12 MILE RD # 354",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19785 W 12 MILE RD # 354",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762584",
            "telephone_number": "248-224-5316",
            "fax_number": "248-629-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING COMPREHENSIVE MANAGEMENT COMPANY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2013-09-08",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "248-224-5316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704203961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wendy W. Webster DPM,PC
• Jeffrey Ernest Werner
• Norman Edward Werner

• Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2013; 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.