MS. MARY K. MUNLEY (NPI# 1124309182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124309182 |
| Entity Type | Individual |
| Full Name | MS. MARY K. MUNLEY |
| Credential | RN, MSN, ACNP |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2608 |
| Mailing Address |
4461 Parnell St Clarkston MI 48346-4052 |
| Practice Telephone | 3139166572 |
| Mailing Telephone | 2483439892 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
4704188736 | MI | Nursing Service Providers |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598381824 | Aida Damaris Morar | Registered Nurse | 5557 Cass Ave, Detroit, MI 48202-3615 | 2020-06-23 |
| 1679194518 | Bianca Gonzalez | Registered Nurse | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-05-01 |
| 1336784594 | Hami Karen Chaboya | Registered Nurse | 22101 Moross Rd, Detroit, MI 48236-2148 | 2019-11-12 |
| 1508420597 | Islam Beidoun | Registered Nurse | 2799 W Grand Blvd, Detroit, MI 48202 | 2019-04-25 |
| 1871026195 | Danielle Rae Gertz | Registered Nurse | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2017-04-04 |
| 1396147930 | Patrick Joseph Troy | Registered Nurse | 22201 Moross Rd, Ste. 365, Detroit, MI 48236-2169 | 2014-09-25 |
| 1972921468 | Vicki Marie Clark | Registered Nurse | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2014-04-01 |
| 1801178421 | Lisa Renee Beckwith | Registered Nurse | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2011-09-10 |
| 1548495054 | Darlene Caryn Dereczyk | Registered Nurse | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2009-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274227 | Damita Ferguson | Registered Nurse | 14441 Northfield Blvd, Oak Park, MI 48237-1522 | 2020-10-30 |
| 1447868237 | Mohamad Abdul-nabi Cheaito | Registered Nurse | 22445 Heinze St, Dearborn, MI 48128-1323 | 2020-07-17 |
| 1437774288 | Elizabeth Marie Kirkpatrick | Registered Nurse | 600 Broadway Ave Nw Apt 432, Grand Rapids, MI 49504-7325 | 2020-06-08 |
| 1538782446 | Jose Ramon Sanchez-carrera | Registered Nurse | 13375 Village Park Dr Apt C4, Southgate, MI 48195-2769 | 2020-05-27 |
| 1003455981 | Dylan M Meyer | Registered Nurse | 1085 Kentwood St Ne, Grand Rapids, MI 49505-4837 | 2019-12-25 |
| 1366087140 | Amanda Marlene Oaks | Registered Nurse | 46087 Rhodes Dr, Macomb, MI 48044-4080 | 2019-11-15 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1396389839 | Adrian Danielle Williams | Registered Nurse | 23759 Stony Creek Dr, Farmington Hills, MI 48336-2231 | 2019-10-28 |
| 1003479429 | Elena Darby | Registered Nurse | 13994 Susanna Ct, Livonia, MI 48154-4988 | 2019-04-22 |
| 1841853223 | Tamara Yvette Smith | Registered Nurse | 173 Charles Ln, Pontiac, MI 48341-2928 | 2019-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.