MARLON NICDAO


Address: 3990 John R St, Detroit, MI 48201-2018
Phone: 3137458040

MARLON NICDAO (NPI# 1225673114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225673114
Entity Type Individual
Full Name MARLON NICDAO
Practice Address 3990 John R St
Detroit
MI 48201-2018
Mailing Address 4700 Greenfield Rd Ste 2e
Dearborn
MI 48126-4124
Practice Telephone 3137458040
Mailing Telephone 3137401111
Enumeration Date 2019-11-14
Last Update Date 2019-11-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care 		4704289739 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3990 JOHN R ST
City DETROIT
State MI
Zip Code 48201-2018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619959707 Candice Garwood Pharmacist 3990 John R St, Department of Pharmacy, Detroit, MI 48201-2018 2005-11-15
1396342085 Tzu-bou Hsieh Obstetrics & Gynecology 3990 John R St, Detroit, MI 48201-2018 2020-10-06
1558976928 Ashley Mary Asmar Nurse Practitioner 3990 John R St, Detroit, MI 48201-2018 2020-09-12
1871102574 Adam Ryan Mills Registered Nurse 3990 John R St, Detroit, MI 48201-2018 2020-07-28
1033734082 Sean Lang Pharmacist 3990 John R St, Detroit, MI 48201-2018 2020-06-15
1568084259 Carly Victoria Burns Pharmacist 3990 John R St, Detroit, MI 48201-2018 2020-05-15
1154941805 Dustin David Reykdal Student in an Organized Health Care Education/Training Program 3990 John R St, Detroit, MI 48201-2018 2020-04-23
1902426513 Merva N. Gilani Student in an Organized Health Care Education/Training Program 3990 John R St, Detroit, MI 48201-2018 2020-04-23
1659991271 Elisabeth Lederman Wong Student in an Organized Health Care Education/Training Program 3990 John R St, Detroit, MI 48201-2018 2020-04-23
1366080640 Joel David Ziettlow Nurse Anesthetist, Certified Registered 3990 John R St, Detroit, MI 48201-2018 2019-12-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1811202310 Ronda Lyn Bryant Nurse Practitioner 17600 Ryan Rd, Detroit, MI 48212-1155 2010-08-10
1104902915 Kathleen Ann Brady Nurse Practitioner Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202 2006-10-27
1619914199 Sheryl Jean Marentette Nurse Practitioner 4646 John R St Ste A3118, Detroit, MI 48201-1916 2006-06-01
1952918740 Lisa Colombo Nurse Practitioner 22101 Moross Rd, Detroit, MI 48236-2148 2020-09-26
1558976928 Ashley Mary Asmar Nurse Practitioner 3990 John R St, Detroit, MI 48201-2018 2020-09-12
1881218790 Erin Marie Dinnell Nurse Practitioner 4201 Saint Antoine St, Detroit, MI 48201-2153 2020-06-05
1780205179 Sabastan Patrick Knight Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2608 2020-04-27
1265077408 Megan Nicole Hodson Nurse Practitioner 2799 W Grand Blvd, Detroit, MI 48202-2689 2019-11-12
1497398960 Sukhvir Kaur Locham Nurse Practitioner 3990 John R St, Detroit, MI 48201-2018 2019-10-28
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

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.

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