MRS. MAUREEN MIKA EBERLY NPI 1205959848

NPI Information

  • NPI: 1205959848
  • Provider Name: MRS. MAUREEN MIKA EBERLY
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Individual
  • Address: 12251 JAMES ST
    SUITE 400
    HOLLAND, MI
    ZIP 49424
  • Phone: (616) 393-5589

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NPI Details

MRS. Maureen Mika Eberly is a women's health nurse practitioner in Holland, MI. MRS. Maureen Mika Eberly NPI is 1205959848. 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:

12251 JAMES ST
SUITE 400
HOLLAND, MI
ZIP 49424-675
Phone: (616) 393-5589
Fax: (616) 393-5659

The enumeration date for this NPI number is 4/9/2007 and was last updated on 1/9/2012.

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
1363LW0102XNurse PractitionerWomen's Health4704141588MICHIGANYes

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: 11/21/2025

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