MARY L SEROWOKY


Address: 5555 Conner St, St 2691, Detroit, MI 48213-3448
Phone: 3135791182

MARY L SEROWOKY (NPI# 1245237551) 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) 1245237551
Entity Type Individual
Full Name MARY L SEROWOKY
Credential APRN-BC,NP
Practice Address 5555 Conner St
St 2691
Detroit
MI 48213-3448
Mailing Address 3130 Mckinley St
Dearborn
MI 48124-3612
Practice Telephone 3135791182
Practice Fax Number 3135795128
Mailing Telephone 3135619393
Enumeration Date 2005-06-30
Last Update Date 2009-03-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704136723 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5555 CONNER ST
ST 2691
City DETROIT
State MI
Zip Code 48213-3448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902422751 Dhaara Antani Dietitian, Registered 5555 Conner St, Detroit, MI 48213-3448 2020-06-17
1164066643 Bethany J. Howard Case Manager/Care Coordinator 5555 Conner St, Detroit, MI 48213-3448 2019-10-29
1699234153 Madison Community Hospital Inc Nurse Practitioner 5555 Conner St, Detroit, MI 48213-3448 2019-03-14
1700357563 Ashley Henninger Speech-Language Pathologist 5555 Conner St, Detroit, MI 48213-3448 2018-12-05
1720564651 Metropolitan Detroit Center for Independent Living Case Management 5555 Conner St, Detroit, MI 48213-3448 2018-07-13
1386158962 Sharon Diane Fowler Counselor 5555 Conner St, Detroit, MI 48213-3448 2017-11-19
1346605847 Shannon Crumbley In Home Supportive Care 5555 Conner St, 2079c, Detroit, MI 48213-3448 2015-12-28
1083080121 Sonya Shelman Social Worker 5555 Conner St, Detroit, MI 48213-3448 2015-08-12
1629450960 Marquetta Turner Social Worker 5555 Conner St, Suite 1038, Detroit, MI 48213-3448 2015-06-23
1912317975 Emerging Industries Training Institute, Inc. Non-emergency Medical Transport (VAN) 5555 Conner St, Suite 1600, Detroit, MI 48213-3448 2014-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215540430 Sheronda Lanetta Blackmon Licensed Practical Nurse 13929 Harper Ave., Detroit, MI 48213 2020-08-27
1073049144 Cheryl Williams Community Health Worker 13929 Chalmers Ave., Detroit, MI 48213 2017-05-10
1164963401 Smile Fresh Detroit PC Dentist 7230 Gratiot Avenue, Detroit, MI 48213 2017-03-20
1255887899 Jay Washington Behavioral Analyst 9146 Haper, Detroit, MI 48213 2016-09-01
1396129532 Sarietha King Home Health 14639 Manistique, Detroit, MI 48213 2015-07-17
1366823197 Royal Treatment Mental Health Systems, LLC Counselor 5555 Corner Avenue, Detroit, MI 48213 2015-06-17
1477956779 Monique Powell Student in an Organized Health Care Education/Training Program 5801 Lakeview S.t, Detroit, MI 48213 2014-09-30
1629339163 Samuel Joseph Farmer Counselor 10100 Harper Ave., Detroit, MI 48213 2012-05-31
1609164755 Vernon Keith Johnson Social Worker 20203 Kelly Road, Detroit, MI 48213 2011-07-11
1023312790 Davenport Quality Home Care LLC Home Health 5027 Maxwell, Detroit, MI 48213 2011-01-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1639776164 Jennifer N Fucile Nurse Practitioner 3800 Woodward Ave Apt 702, Detroit, MI 48201-1980 2020-10-07
1649880329 Dedra Delane Ford Nurse Practitioner 18255 Birchcrest Dr, Detroit, MI 48221-2750 2020-08-06
1528695624 Venvisor Health Michigan LLC Nurse Practitioner 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 2020-03-26
1558909978 Ruxandra Maria Lazar Nurse Practitioner 5285 Anthony Wayne Dr, Detroit, MI 48202-3947 2019-12-16
1376186460 Fazila Mahmood Siddiqui Nurse Practitioner 22201 Moross Rd Bldg Suite380, Detroit, MI 48236-2169 2019-10-22
1205482692 Ladawn Denise Kennedy Nurse Practitioner 16645 Ilene St, Detroit, MI 48221-3401 2019-08-13
1427600246 Christina Neirinck Nurse Practitioner 2401 St Antoine St, Detroit, MI 48201 2019-07-11
1548821556 Ty R Houston Nurse Practitioner 13100 Corbett St, Detroit, MI 48213-2081 2019-06-21
1235795451 Nekisha Bailey Nurse Practitioner 7501 Parkland, Detroit, MI 48239-1079 2019-05-13
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Competitor

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City DETROIT
Zip Code 48213

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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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