Barbara J McConnell, LPN, CHTP, CHTI
Individual provider Active NPI Licensed Practical Nurse · Grass Lake, MI
NPI 1992915862 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1992915862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703013684 (MI)
- Practice address
- 595 Island
Grass Lake, MI 49240-9623 - Phone
- (517) 522-4790
- Fax
- (517) 522-4110
- NPI assigned
- May 22, 2007
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703013684 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703013684 | MI | Yes |
Addresses
Primary practice location
595 Island
Grass Lake, MI 49240-9623
Mailing address
595 Island
Grass Lake, MI 49240-9623
Phone (517) 522-4790
Other providers in Grass Lake, MI
- Johanna Kegerreis
- Cheryl Kennedy-Reul
- Sheri Jean Leighton
- Leighton'S Light PLLC
- Mark E Leventer
- Daniel Nelson Mikel
- Betsabe Molleda
- Vince Mottes
- Matthew F. Navarre
- Holleigh Neff
All providers in Grass Lake, MI · Licensed Practical 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 Jul 8, 2007. 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.