MARILYN ALYSSE CHENGO


Address: 1200 Kirts Blvd Ste 200, Troy, MI 48084-4899
Phone: 5022442420

MARILYN ALYSSE CHENGO (NPI# 1649736729) 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) 1649736729
Entity Type Individual
Full Name MARILYN ALYSSE CHENGO
Credential APRN
Practice Address 1200 Kirts Blvd Ste 200
Troy
MI 48084-4899
Mailing Address 12910 Shelbyville Rd Ste 300
Louisville
KY 40243-2404
Practice Telephone 5022442420
Practice Fax Number 5029968282
Mailing Telephone 5022442420
Mailing Fax Number 5029968282
Enumeration Date 2019-02-14
Last Update Date 2019-02-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 4704297958 MI Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
4704297958 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1200 KIRTS BLVD STE 200
City TROY
State MI
Zip Code 48084-4899

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497360242 Keely Erin Zuri Physical Therapy Assistant 3250 W. Big Beaver, Troy, MI 48084 2020-09-09
1841762473 Hunter Thomas Michaels Kinesiotherapist 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 2018-12-20
1265900864 Michelle Denise Carter Massage Therapist 3250 West Big Beaver Suite 228, Troy, MI 48084 2018-11-13
1770083925 Troy Daniel Burrell Clinical Exercise Physiologist 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 2018-02-14
1174030175 Alexander Scott Kinesiotherapist 3250 W. Big Beaver Rd., Troy, MI 48084 2017-12-29
1568977213 Mallory Rose Valeri Specialist/Technologist 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 2017-12-04
1710409651 Eduardo Martin Pinto Pharmacist 3811 Coolidge Hwy, Troy, MI 48084 2017-07-12
1659891653 Tricia Michelle Forgash Recreation Therapist 1998 Dorchester Dr. N 106, Troy, MI 48084 2017-06-21
1851759278 Lauren Field Counselor 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 2016-01-30
1265806939 Tammy Scott-barney Nurse Practitioner 888 W Big Beaver Rd Ste 900, Troy, MI 48084 2015-11-18
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851998777 Nila Ellison Nurse Practitioner 2810 Alisop Pl Apt 306, Troy, MI 48084-3470 2020-10-04
1689286262 Kayla Dawn Metz Nurse Practitioner 101 Hunters Mountain Pkwy, Troy, AL 36079-5895 2020-08-17
1801421953 Veronica Talevska Nurse Practitioner 1054 Henrietta Ave, Troy, MI 48083-1908 2020-03-10
1245878636 Kim S Hussey Nurse Practitioner 989 Elba Hwy, Troy, AL 36079-6050 2019-12-16
1548804685 Kelly N Lofton Nurse Practitioner 144 Prison Ln, Troy, VA 22974 2019-11-01
1740831528 Monica Hallac Nurse Practitioner 3630 Old Creek Rd, Troy, MI 48084-1658 2019-09-24
1053961482 Vian Murad Nurse Practitioner 752 Amberwood Dr, Troy, MI 48085-1676 2019-09-17
1245886100 Sheila Kay Mitchell Nurse Practitioner 101 Hunter Mountain Parkway, Troy, AL 36081-3608 2019-08-15
1427510262 Allison Michelle Harper Nurse Practitioner 3006 N County Road 25a Ste 102, Troy, OH 45373-1373 2019-04-02
1669940409 Astasia C Goodenough Nurse Practitioner 5680 Wright Dr, Troy, MI 48098-2917 2018-11-09
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Competitor

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City TROY
Zip Code 48084

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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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