PAMELA ANN KACZOR (NPI# 1417447947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417447947 |
| Entity Type | Individual |
| Full Name | PAMELA ANN KACZOR |
| Credential | FNP |
| Practice Address |
28721 Northline Rd Romulus MI 48174 |
| Practice Telephone | 7347906306 |
| Mailing Telephone | 7347906306 |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704177676 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
28721 NORTHLINE RD |
| City | ROMULUS |
| State | MI |
| Zip Code | 48174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
| 1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
| 1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
| 1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
| 1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
| 1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
| 1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
| 1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
| 1689901803 | Ambrose Green Jr. | Occupational Therapist | 35431 Avalon, Romulus, MI 48174 | 2009-11-09 |
| Find all providers in zip 48174 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262513 | Clarinda Ann Jones-washington | Nurse Practitioner | 16999 Brandt St, Romulus, MI 48174-3315 | 2020-10-12 |
| 1285257170 | Aneela H Rashid | Nurse Practitioner | 27019 Debiasi Dr, Romulus, MI 48174-8502 | 2020-05-26 |
| 1700438348 | Catoria Querrie | Nurse Practitioner | 5770 Lake Hill Dr, Romulus, NY 14541-5025 | 2019-07-14 |
| 1447717731 | Stella Iheoma Obinya | Nurse Practitioner | 16349 Harrison, Romulus, MI 48174-3187 | 2019-02-22 |
| 1811452535 | Kimberly Dean Kemp | Nurse Practitioner | 7186 Wayne Rd, Romulus, MI 48174-1637 | 2019-02-06 |
| 1811463649 | Evangeline Ndirika Atukosi | Nurse Practitioner | 39130 Buckingham Dr, Romulus, MI 48174-6324 | 2018-10-19 |
| 1700371085 | Tena Payton-vance | Nurse Practitioner | 39079 Buckingham Dr, Romulus, MI 48174-6325 | 2018-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PAMELA ANN KACZOR.
| 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.