ALICE OPIYO MWANDA (NPI# 1346556719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346556719 |
| Entity Type | Individual |
| Full Name | ALICE OPIYO MWANDA |
| Credential | NP-C |
| Practice Address |
804 Service Rd A142 East Lansing MI 48824-7015 |
| Mailing Address |
804 Service Rd A201 East Lansing MI 48824-7015 |
| Practice Telephone | 5173533050 |
| Practice Fax Number | 5174323742 |
| Mailing Telephone | 5178842976 |
| Mailing Fax Number | 5174323742 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704244052 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 1235131137 | 01 |
| MI | 1346556719 | 05 |
| Street Address |
804 SERVICE RD A142 |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48824-7015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457355042 | Elizabeth Hengstebeck | Family Medicine | 804 Service Rd, A142, East Lansing, MI 48824-7015 | 2005-06-10 |
| 1467906271 | Barbara Mitchell | Nurse Practitioner | 804 Service Rd, A217, East Lansing, MI 48824-7015 | 2016-08-09 |
| 1578946406 | Prajwal Dhakal | Internal Medicine | 804 Service Rd, A225, East Lansing, MI 48824-7015 | 2015-07-09 |
| 1184007890 | Omar Albanyan | Internal Medicine | 804 Service Rd, A225 Clinical Center, East Lansing, MI 48824-7015 | 2015-06-30 |
| 1942681226 | Laura Bohatch | Internal Medicine | 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824-7015 | 2015-06-12 |
| 1225417850 | Georgette Cooke | Internal Medicine | 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824-7015 | 2015-05-28 |
| 1326427931 | Negar Salehi | Internal Medicine | 804 Service Rd, A-225 Clinical Center, East Lansing, MI 48824 | 2015-05-28 |
| 1871900563 | Tariq Khalid Alrasheed | Internal Medicine | 804 Service Rd, Room A-225, East Lansing, MI 48824-7021 | 2014-07-15 |
| 1851716732 | Christie Daiss | Pharmacist | 804 Service Rd, A-101, East Lansing, MI 48824-7021 | 2014-02-28 |
| 1538583380 | Jane French | Pharmacist | 804 Service Rd, East Lansing, MI 48824-7021 | 2014-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680303 | Emilia Elizabeth Mattioli | Psychiatry & Neurology | 965 Fee Road Room A223, East Lansing, MI 48824 | 2020-05-14 |
| 1447871983 | James O'brien | Psychiatry & Neurology | Msu Psychiatry Residency Program, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2020-05-06 |
| 1750916979 | Mulin Xiong | Student in an Organized Health Care Education/Training Program | 965 Wilson Road Suite A110, East Fee Hall, East Lansing, MI 48824 | 2020-03-09 |
| 1821659301 | Tovah Apolonia Aho | Psychiatry & Neurology | Michigan State University Psychiatric Residency, 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-06-25 |
| 1912564881 | Asmara Theresa Hoo | Psychiatry & Neurology | 965 Fee Road, Room A233, East Lansing, MI 48824 | 2019-05-24 |
| 1790276822 | Traverse Health Clinic and Coalition | Clinic/Center | East Fee Hall 965 Fee Road, Room A222, East Lansing, MI 48824 | 2018-05-24 |
| 1922598515 | Jubin Joseph Cheruvelil | Specialist/Technologist, Other | 446 W. Circle Dr. Room 249 Annex, Justin S. Morrill Hall of Agriculture, East Lansing, MI 48824 | 2018-05-18 |
| 1073003257 | Dawn Arvye Contreras | Health Educator | 446 West Circle Dr., Justin S. Morrill Hall of Agriculture, Room 166, East Lansing, MI 48824 | 2018-05-14 |
| 1710406046 | Kimberly Ann Breukink | Social Worker | 463 East Circle Drive, Michigan State University, Counseling and Psychiatric Services, East Lansing, MI 48824 | 2017-09-19 |
| 1043766314 | Ahmed Jouan | Psychiatry & Neurology | 804 Service Rd A217, East Lansing, MI 48824 | 2016-08-28 |
| Find all providers in zip 48824 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538585252 | Andria Elizabeth Slater | Nurse Practitioner | 660 Cornell Ave, East Lansing, MI 48823-3609 | 2014-03-06 |
| 1275840209 | Nora Longthorne | Nurse Practitioner | 535 Aquila Dr, East Lansing, MI 48823-8318 | 2010-09-13 |
| 1831144237 | Katherine J Dontje | Nurse Practitioner | A142 Clinical Ctr, College of Nursing, East Lansing, MI 48824-1313 | 2006-05-23 |
| 1205436375 | Danielle Lyndsey Engwis | Nurse Practitioner | 2025 Abbot Rd Ste 100, East Lansing, MI 48823-8573 | 2020-10-28 |
| 1568001394 | Andrea Lee Hanna | Nurse Practitioner | 2900 Hannah Blvd, East Lansing, MI 48823 | 2019-12-26 |
| 1174085484 | Abigail Ann Whitten | Nurse Practitioner | 2682 E Grand River Ave, East Lansing, MI 48823-5608 | 2019-04-04 |
| 1679049308 | Kimberly A Loomis | Nurse Practitioner | 6110 Abbot Rd, East Lansing, MI 48823-1410 | 2018-10-20 |
| 1578068235 | Christopher E Title | Nurse Practitioner | 6200 Pine Hollow Dr Ste 400, East Lansing, MI 48823-9224 | 2018-03-26 |
| 1487156808 | Karyn Tetloff | Nurse Practitioner | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2018-03-01 |
| 1114465952 | Elise Langley | Nurse Practitioner | 4650 S Hagadorn Rd Ste 100, East Lansing, MI 48823-5386 | 2017-01-31 |
| Find all providers in EAST LANSING | ||||
| City | EAST LANSING |
| Zip Code | 48824 |
Please comment or provide details below to improve the information on ALICE OPIYO MWANDA.
| 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.