HEATHER M GULISH


Address: 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200
Phone: 5867714820

HEATHER M GULISH (NPI# 1679538318) 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) 1679538318
Entity Type Individual
Full Name HEATHER M GULISH
Credential M.S.N., C.U.N.P.
Practice Address 20952 E 12 Mile Rd
Suite 200
St Clair Shores
MI 48081-3200
Practice Telephone 5867714820
Practice Fax Number 5867716620
Mailing Telephone 5867714820
Mailing Fax Number 5867716620
Enumeration Date 2006-04-18
Last Update Date 2008-07-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 4704180714 MI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI RAILROAD MEDICARE 500013142 01

Office Location

Street Address 20952 E 12 MILE RD
SUITE 200
City ST CLAIR SHORES
State MI
Zip Code 48081-3200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306897368 Geoffrey D Osgood Specialist 20952 E 12 Mile Rd, Suite 150, St Clair Shores, MI 48081-3200 2006-05-15
1861457772 Edward W Schervish Urology 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 2006-04-20
1982669354 Rima Tinawi-aljundi Pathology 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 2006-04-19
1174588487 Brian V Guz Urology 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 2006-04-19
1174588511 Alphonse M Santino Urology 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 2006-04-19
1679538904 Juan Rene Frontera Urology 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 2006-04-19
1487619722 James J Boutrous Urology 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 2006-04-19
1528023892 Valal K George Urology 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 2006-04-19
1497710982 Shiva J Maralani Urology 20952 E 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3200 2006-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750865416 Saint Clair Family Pharmacy LLC Pharmacy 28001 Harper Ave., Saint Clair Shores, MI 48081 2018-09-19
1669995783 Terra Laquay Ginther Social Worker 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 2017-07-20
1245676998 Julia Hanson Social Worker 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 2013-05-21
1760731301 Life Transition Service Community/Behavioral Health 21031 Sunnydale, St. Clair Shore, MI 48081 2012-08-29
1477868792 William Burr Wood Pharmacist 21000 Twelve Milerd., St Clair Shores, MI 48081 2010-08-11
1508094350 Dominic Anthony Garrisi Anesthesiology 21018 Bon Brae, St. Clair Shores, MI 48081 2009-06-30
1992947022 Karen Ostrowski-thomas Occupational Therapist 22442 Bayview, St. Clair Shores, MI 48081 2009-04-06
1891979787 Chirag Rachhadia Physical Therapist 29150 Harper Avenue, St. Clair Shores, MI 48081 2007-12-27
1598955114 Donna Warner Manczak Psychologist 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 2007-07-30
1467652347 Sumit Narayanprasad Fogla Family Medicine 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 2007-07-19
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861473084 Barbara Lawson Nurse Practitioner 28963 Little Mack Ave, Ste 101, St Clair Shores, MI 48081-3015 2005-11-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477154599 Kelly Phuong Doan Nurse Practitioner 27327 23 Mile Rd, Chesterfield, MI 48051-2045 2020-11-04
1275133217 Maureen Mae Lewis Nurse Practitioner 2782 N Coleman Rd, Coleman, MI 48618-9721 2020-10-29
1073113460 Taylor L Pichette Nurse Practitioner 758 Lucille Dr, Wolverine Lake, MI 48390-2327 2020-10-27
1295333938 Amanda Covell Nurse Practitioner 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 2020-10-14
1689271314 Nicole Conklin Nurse Practitioner 524 Doyle Rd, Laingsburg, MI 48848-9611 2020-10-06
1447857677 Shelby Lynn Waibel Nurse Practitioner 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 2020-10-01
1497361638 Amira Aljamal Nurse Practitioner 4601 Shenandoah Ave, Allen Park, MI 48101-3131 2020-09-22
1659987014 Sean Thomas Kane Nurse Practitioner 13734 Parallel Ave, Alpena, MI 49707-7987 2020-09-21
1235743592 Mojica, LLC Nurse Practitioner 4163 W Pointe Dr, Waterford, MI 48329-4648 2020-09-03
1942812094 Meagan James Nurse Practitioner 407 E Huron River Dr, Belleville, MI 48111-2763 2020-08-20
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Competitor

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City ST CLAIR SHORES
Zip Code 48081

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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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