NANCY ANNE VIRGILIO (NPI# 1619908167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619908167 |
| Entity Type | Individual |
| Full Name | NANCY ANNE VIRGILIO |
| Credential | PA C |
| Practice Address |
308 Charles Street Bangor MI 49013 |
| Mailing Address |
50 Industrial Park Drive Bangor MI 49013 |
| Practice Telephone | 2694277967 |
| Practice Fax Number | 2694277574 |
| Mailing Telephone | 2694277937 |
| Mailing Fax Number | 2694275180 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601003778 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
308 CHARLES STREET |
| City | BANGOR |
| State | MI |
| Zip Code | 49013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962439950 | Michele E Allen | Dentist | 308 Charles Street, Bangor, MI 49013 | 2006-06-27 |
| 1417319476 | Terri Lynn Harbin Ilg | Dental Hygienist | 308 Charles Street, Intercare Community Health Network, Bangor, MI 49013 | 2016-03-28 |
| 1518375740 | Carolyn Thon | Dental Hygienist | 308 Charles Street, Bangor, MI 49013-1246 | 2014-07-31 |
| 1194133744 | Intercare Community Health Network Dental Van | Clinic/Center | 308 Charles Street, Bangor, MI 49013-1246 | 2014-07-28 |
| 1114335767 | Intercare Community Heath Network Medical Van | Clinic/Center | 308 Charles Street, Bangor, MI 49013-1246 | 2014-07-28 |
| 1356540926 | Brandy L Zantello | Dental Hygienist | 308 Charles Street, Bangor, MI 49013 | 2007-07-13 |
| 1538365705 | Alicia Scuiletti | Dental Hygienist | 308 Charles Street, Bangor, MI 49013 | 2007-06-25 |
| 1730197310 | Joette Marie Wyman | Dental Hygienist | 308 Charles Street, Bangor, MI 49013 | 2006-08-03 |
| 1366473811 | William L Wilkinson | Family Medicine | 308 Charles Street, Bangor, MI 49013 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1629252895 | Van Buren Cass District Health Department | Community/Behavioral Health | 803 West Arlington, Bangor Health Center, Bangor, MI 49013 | 2007-12-24 |
| 1245426808 | Karen Lee Replogle | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2007-09-18 |
| 1518152560 | Virginia Douglas | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2007-09-12 |
| 1992818835 | Intercare Community Health Network | Clinic/Center | 308 Charles St, Bangor, MI 49013 | 2006-08-16 |
| 1326058512 | Intercare Community Health Network | Clinic/Center | 50 Industrial Park Dr, Bangor, MI 49013 | 2006-08-09 |
| 1366051898 | Kasie M Broe | Social Worker | 52101 34th Avenue, Bangor, MI 49013 | 2020-07-30 |
| 1255985966 | Audria Gilliland | Registered Nurse | 52101 34th Avenue, Bangor, MI 49013 | 2019-07-31 |
| 1891185765 | Teresa Ansinn | Nurse Practitioner | 50 Industrial Park Rd, Bangor, MI 49013 | 2015-01-30 |
| 1093985087 | Nancy Lou Grib | Registered Nurse | 52101 34 Avenue, Bangor, MI 49013 | 2008-03-05 |
| Find all providers in zip 49013 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1932647112 | Cory Callahan | Physician Assistant | 417 State St, Suite 340, Bangor, ME 04401 | 2017-02-07 |
| 1437559010 | Shelby June Slauenwhite | Physician Assistant | 489 State St Ste 221, Bangor, ME 04401-6616 | 2014-09-02 |
| 1437242294 | Sunbury Primary Care, P.a. | Physician Assistant | 133 Corporate Drive, Suite 5, Bangor, ME 04401 | 2006-10-02 |
| 1891890166 | John F Cassidy Iv | Physician Assistant | 34 Summer St, Bangor, ME 04401-6446 | 2006-09-13 |
| 1831124338 | Isolde Kissinger | Physician Assistant | 520 Railroad St, Bangor, MI 49013-1490 | 2006-07-12 |
| 1366472847 | Michael Moreau | Physician Assistant | 417 State Street Webber West Suite 340, Bangor, ME 04401-6616 | 2006-07-03 |
| 1104868603 | Karen D Godin | Physician Assistant | 417 State St Ste 400, Penobscot Respiratory, Bangor, ME 04401-6096 | 2006-06-11 |
| 1912976911 | Joseph Harkins | Physician Assistant | 417 State St Ste 121, Bangor, ME 04401-6630 | 2006-03-14 |
| 1932194214 | Shirley E Sanders | Physician Assistant | 555 Railroad St, Bangor, MI 49013-1464 | 2005-09-13 |
| Find all providers in BANGOR | ||||
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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.