MS. MARGIEJO D PACKHAM


Address: 109 W Memorial Dr, Hancock, MI 49931
Phone: 9064829400

MS. MARGIEJO D PACKHAM (NPI# 1679047278) 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) 1679047278
Entity Type Individual
Full Name MS. MARGIEJO D PACKHAM
Credential RN
Practice Address 109 W Memorial Dr
Hancock
MI 49931
Practice Telephone 9064829400
Enumeration Date 2019-01-16
Last Update Date 2019-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
4704208343 MI Nursing Service Providers

Office Location

Street Address 109 W MEMORIAL DR
City HANCOCK
State MI
Zip Code 49931

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1922294107 Diane Sue Johnson Registered Nurse 901 West Memorial Drive, Houghton, MI 49931 2007-09-20
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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1871146084 Amber Lee Smith Registered Nurse 441 County Road Ml, Negaunee, MI 49866-9084 2019-07-17
1275193450 Tricia Kay Rosa Registered Nurse 6767 Knollview Dr, Hudsonville, MI 49426-9388 2019-06-19
1730654732 Christine Gabriel Registered Nurse 3871 Cheryl Dr, Commerce Township, MI 48382-1723 2018-10-05
1730685132 Daniel Kueppers Registered Nurse 3505 Denton Rd, Canton, MI 48188-2107 2018-04-04
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Competitor

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City HANCOCK
Zip Code 49931

Improve Information

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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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