MILDRED MAURILLO PURTELL (NPI# 1144867102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144867102 |
| Entity Type | Individual |
| Full Name | MILDRED MAURILLO PURTELL |
| Credential | LPN |
| Practice Address |
203 Dartmouth Dr Midland MI 48640-4513 |
| Mailing Address |
312 Green Ave Bay City MI 48708-6887 |
| Practice Telephone | 9898392311 |
| Practice Fax Number | 8003360596 |
| Mailing Telephone | 9896007369 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 4703101031 | MI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4703101031 | 05 |
| Street Address |
203 DARTMOUTH DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-4513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708282 | Amanda Soto | Licensed Practical Nurse | 106 N Bentwood Dr, Midland, TX 79703-6054 | 2020-04-06 |
| 1306470695 | Kendra Lasha Caston | Licensed Practical Nurse | 602 S Jackson St, Midland, TX 79701-7642 | 2020-02-26 |
| 1871127498 | Liza Sanchez | Licensed Practical Nurse | 3800 Placid Ct, Midland, TX 79703-4961 | 2020-02-24 |
| 1386277531 | Alexandra Elizabeth Slocum | Licensed Practical Nurse | 2818 W Loop 250 N Apt D208, Midland, TX 79705-3355 | 2020-02-17 |
| 1487292348 | Ashley Young | Licensed Practical Nurse | 504 Beckley Dr, Midland, TX 79703-6411 | 2019-12-11 |
| 1508407958 | Vanessa Vazquez | Licensed Practical Nurse | 7701 Wcr 116 Sp63, Midland, TX 79706 | 2019-10-07 |
| 1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
| 1366902264 | Patricia Rivera | Licensed Practical Nurse | 1309 Bookness St, Midland, MI 48640-4314 | 2019-03-25 |
| 1508323734 | Angela Chambers | Licensed Practical Nurse | 705 Crescent Dr, Midland, MI 48640-3495 | 2019-02-24 |
| 1316420060 | Sandra Carbajal | Licensed Practical Nurse | 2914 Scr 1193, Midland, TX 79706 | 2018-09-10 |
| Find all providers in MIDLAND | ||||
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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.