CHARLIE MURPHY GANTT NP NPI 1346861440

NPI Information

NPI: 1346861440
Provider Name: CHARLIE MURPHY GANTT, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
32905 W 12 MILE RD
FARMINGTON HILLS, MI
ZIP 48334
Phone: (248) 957-9184
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Charlie Murphy Gantt, NP is a psychiatric/mental health nurse practitioner in Farmington Hills, MI with 5 years of experience. Charlie Murphy Gantt, NP NPI is 1346861440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

32905 W 12 MILE RD
FARMINGTON HILLS, MI
ZIP 48334-342
Phone: (248) 957-9184
Fax: (248) 957-9185

The NPI 1346861440 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/29/2020 and was last updated on 4/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	4704317868	MICHIGAN	No
2	363LP2300X	Nurse Practitioner	Primary Care	4704317868	MICHIGAN	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	4704317868	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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