PROF. NANCY MARIE GEORGE PHDFNP-BC NPI 1598827750

NPI Information

NPI: 1598827750
Provider Name: PROF. NANCY MARIE GEORGE, PHD,FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
33030 VAN BORN RD
WAYNE, MI
ZIP 48184
Phone: (734) 858-1940
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PROF. Nancy Marie George, PHD,FNP-BC is a family nurse practitioner in Wayne, MI. PROF. Nancy Marie George, PHD,FNP-BC NPI is 1598827750. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

33030 VAN BORN RD
WAYNE, MI
ZIP 48184-453
Phone: (734) 858-1940

The NPI 1598827750 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 12/14/2006 and was last updated on 9/29/2023.

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	363LF0000X	Nurse Practitioner	Family	4704172835	MICHIGAN	Yes
2	363L00000X	Nurse Practitioner		4704172835	MICHIGAN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42Q3603	MEDICAID	MICHIGAN
2	086437	OTHER	MICHIGAN	BCBS
3	5000012935	OTHER	MICHIGAN	RAILROAD
4	50-5-86-6437-0	OTHER	MICHIGAN	BCBS

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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