MARIE CHRIS EAMON (NPI# 1952770380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952770380 |
| Entity Type | Individual |
| Full Name | MARIE CHRIS EAMON |
| Practice Address |
19335 Grand River Ave Detroit MI 48223-1201 |
| Practice Telephone | 2486226195 |
| Practice Fax Number | 3137948790 |
| Mailing Telephone | 2486226195 |
| Mailing Fax Number | 3137948790 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AG0915078 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19335 GRAND RIVER AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48223-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811073737 | Stanley Michael Poleck | Family Medicine | 19335 Grand River Ave, Detroit, MI 48223-1201 | 2006-10-31 |
| 1083759567 | Stanley M Poleck Do Pllc | Family Medicine | 19335 Grand River Ave, Detroit, MI 48223-1201 | 2007-02-21 |
| 1699851519 | Annemarie Poleck | Family Medicine | 19335 Grand River Ave, Detroit, MI 48223-1201 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366946659 | From Heavens Joy Assisted Care Support Services LLC | Social Worker | 14179 Evergreen Rd, Detroit, MI 48223 | 2018-03-21 |
| 1164921144 | Kyara Mccraney | Licensed Practical Nurse | 12725 Riverview St, Detroit, MI 48223 | 2018-02-06 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1629590609 | Marie Davis | Nursing Care | 14049 Minock St, Detroit, MI 48223 | 2017-07-12 |
| 1740726488 | Tanisha Smith | Behavior Technician | 14620 Faust Ave, Detroit, MI 48223 | 2017-01-18 |
| 1518418730 | Tamica K Boyd | Emergency Medical Technician, Basic | 15890 Lamphere, Detroit, MI 48223 | 2016-10-24 |
| 1831596832 | Walter Ector | Counselor | 14243 Minock, Detroit, MI 48223 | 2014-11-20 |
| 1336568542 | Sheryl A Ali | Registered Nurse | 12811 Hazelton Street, Detroit, MI 48223 | 2014-04-15 |
| 1255667556 | Abyssinia Love Knot Physical Therapy LLC | Physical Medicine & Rehabilitation | 15340 Southfield Freeway, Suite 1-a, Detroit, MI 48223 | 2009-10-22 |
| 1629243902 | Glenda Faye Smith | Massage Therapist | 15041 Faust, Detroit, MI 48223 | 2008-04-28 |
| Find all providers in zip 48223 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750808648 | Mattie B. Johnson | Nurse Practitioner | 13599 Virgil St, Detroit, MI 48223-3050 | 2017-08-23 |
| 1184176984 | Amanda Marie Allmacher | Nurse Practitioner | 50 E Canfield St Ste 101-s, Detroit, MI 48201-1804 | 2016-10-27 |
| 1144774472 | Angela Jayne Wolf | Nurse Practitioner | 7409 2nd Ave, Apt. A2, Detroit, MI 48202-2700 | 2016-08-03 |
| 1912263914 | Tonia Anitra Willis | Nurse Practitioner | 14102 Saint Marys St, Detroit, MI 48227 | 2012-04-04 |
| 1861624058 | Angela Faye Woodley-williams | Nurse Practitioner | 11260 E Jefferson Ave, Detroit, MI 48214-3320 | 2009-08-20 |
| 1740394055 | Mary Patricia Lange | Nurse Practitioner | 4601 John R, Detroit, MI 48201 | 2006-08-17 |
| 1346848827 | Tanya L Locke | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2020-10-15 |
| 1720621279 | Rachel Campbell | Nurse Practitioner | 5716 Michigan Ave, Detroit, MI 48210-3039 | 2019-10-28 |
| 1124679188 | Shanta Nicole Brown | Nurse Practitioner | 16181 Hubbell St, Detroit, MI 48235-4026 | 2019-09-21 |
| 1851866396 | Christopher Childers | Nurse Practitioner | 4160 John R St Ste 930, Detroit, MI 48201-2017 | 2018-10-11 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on MARIE CHRIS EAMON.
| 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.