MARY CATHERINE MCLEOD NP NPI 1205838042

NPI Information

NPI: 1205838042
Provider Name: MARY CATHERINE MCLEOD, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
LSSU HEALTH CARE CENTER
650 W EASTERDAY AVENUE
SAULT STE MARIE, MI
ZIP 49783
Phone: (906) 635-2110
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Mary Catherine Mcleod, NP is a family nurse practitioner in Sault Ste Marie, MI. Mary Catherine Mcleod, NP NPI is 1205838042. 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:

LSSU HEALTH CARE CENTER
650 W EASTERDAY AVENUE
SAULT STE MARIE, MI
ZIP 49783
Phone: (906) 635-2110

The enumeration date for this NPI number is 8/11/2005 and was last updated on 5/28/2014.

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	4704123145	MICHIGAN	Yes

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	0N46180	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	MEDICARE NUMBER
2	P11440002	MEDICARE PIN	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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