Mary Elizabeth Chlebek

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704266793 Issued in MI

Practice address

2211 Fort St
Wyandotte, MI 48192-4135

Phone

(734) 357-0505

NPI assigned

Jun 27, 2017

Sex

Female

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1992225288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3361 BIRCHWOOD ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 FORT ST",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924135",
            "telephone_number": "734-357-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHLEBEK",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704266793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte'S Care
• Trisha Marie Chauvin, NP
• Ruey Chen, MD
• Xing Dong Chen, MD, MSE
• Caren Ann Chezick, OTR
• Alyssa Christie
• Elizabeth Anne Christie, NP
• Ciera Bies PLLC
• City of Wyandotte
• Celina Clark, PTA

• Family Nurse Practitioner in Wyandotte, MI
• Providers in Wyandotte, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.