LAURA MIFSUD


Address: 5301 E Huron River Dr, Ypsilanti, MI 48197-1051
Phone: 7347128676

LAURA MIFSUD (NPI# 1699285247) 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) 1699285247
Entity Type Individual
Full Name LAURA MIFSUD
Practice Address 5301 E Huron River Dr
Ypsilanti
MI 48197-1051
Mailing Address 24 Frank Lloyd Wright Dr Lbby J
Ann Arbor
MI 48105-9484
Practice Telephone 7347128676
Mailing Telephone 7347476766
Enumeration Date 2017-10-10
Last Update Date 2017-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
5601008457 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5301 E HURON RIVER DR
City YPSILANTI
State MI
Zip Code 48197-1051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073515268 Imad Ayyar Internal Medicine 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2005-06-01
1134729114 St Joseph Mercy Hospital General Acute Care Hospital 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2020-10-28
1730711524 Stephanie Gibson Physician Assistant 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2020-02-10
1447801758 Rachel Kyley Mccready Physician Assistant 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2019-09-27
1679125579 Ariana Bennett Nurse Anesthetist, Certified Registered 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2019-07-10
1831758671 Emily Trombley Physical Therapist 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2019-06-06
1871052225 St Joseph Mercy Hospital Clinic/Center 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2019-03-15
1437622099 Lauren Noelle Easterbrook Registered Nurse 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2019-01-07
1023584356 Mary Lee Beauregard Speech-Language Pathologist 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2018-10-13
1669947933 Kay Otto Speech-Language Pathologist 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2018-10-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700423092 Devika Dibya Choudhuri Counselor 135 Porter West Circle Drive, Ypsilanti, MI 48197 2019-12-05
1770128837 Brian Lee Shue Registered Nurse 6277 Maplehurst Dr, Ypsilanti, MI 48197 2019-11-13
1639721566 Darlene E Bellers 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 2019-07-11
1073165874 Eastern Michigan University Dietitian, Registered Suite 160 Rackham, Ypsilanti, MI 48197 2019-07-11
1447815469 Rainbow Rehabilitation Centers, Inc. Community Based Residential Treatment Facility, Mental Illness 6200 Textile Rd, Ypsilanti, MI 48197 2019-05-06
1417416298 Justin Brewer Student in an Organized Health Care Education/Training Program 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 2019-03-19
1124519780 Great Lakes Mindfulness LLC Community/Behavioral Health 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 2018-05-19
1841799715 Bedside Angel's Home Care, LLC Home Health 2032 S. Congress Street, Ypsilanti, MI 48197 2018-02-06
1891211777 Brandon James Kukal Specialist/Technologist 799 N Hewitt, Ypslinati, MI 48197 2017-08-22
1669908737 Michael Bekkerman Student in an Organized Health Care Education/Training Program 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 2017-05-10
Find all providers in zip 48197

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861455206 Anthony L Redente Physician Assistant 7967 Hallie Dr, Ypsilanti, MI 48198-7606 2006-04-07
1346221298 Cinderella Ann Miller Wilkins Physician Assistant 1649 S Huron St, Ypsilanti, MI 48197-9701 2005-11-08
1760477657 Frederick C Kominars Physician Assistant 5300 Elliott Dr, Ypsilanti, MI 48197-8632 2005-09-16
1538166616 Matthew Nicholas Hodrosky Physician Assistant 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 2005-07-05
1225659196 Hannah Rose Miller Physician Assistant 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 2020-05-02
1003326216 Mark Brown Physician Assistant 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2017-10-03
1427579077 Fahtme Abdallah Physician Assistant 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 2017-07-05
1285163097 Barry Crawford Physician Assistant 5333 Mcauley Dr Rm 6016, Ypsilanti, MI 48197-1005 2017-06-06
1134678055 Sophia Przewozniak Physician Assistant 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 2016-10-04
1053760470 Michigan Otolaryngology Surgery Associates Physician Assistant 5333 Mcauley Dr, Suite 2017, Ypsilanti, MI 48197-1014 2016-06-07
Find all providers in YPSILANTI

Competitor

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City YPSILANTI
Zip Code 48197

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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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