Carrie Walrath
Individual provider Active NPI Community Health Worker · Wayne, MI
NPI 1992184550 · NPPES record last updated May 28, 2015
Key facts
- NPI
- 1992184550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 4234 Niagara
Wayne, MI 48184 - Phone
- (734) 271-3117
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MI | Yes |
Addresses
Primary practice location
4234 Niagara
Wayne, MI 48184
Mailing address
4234 Niagara
Wayne, MI 48184
Phone (734) 271-3117
Other providers in Wayne, MI
- Walgreen Co
- Rachel Walker
- Raven Walker
- Larry Walkowski
- Zina Denice Wallace
- Danielle Walton
- Eugenia Ann Ward
- Warm Hearted Home Care Services
- Michael Warmuskerken
- Stacey M Washington
All providers in Wayne, MI · Community Health Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2015. 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.