MISS MARCY LEE SOUTAR


Address: 1449 S Washington Ave, Royal Oak, MI 48067-3225
Phone: 2486357309

MISS MARCY LEE SOUTAR (NPI# 1972715787) 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) 1972715787
Entity Type Individual
Full Name MISS MARCY LEE SOUTAR
Credential RN
Practice Address 1449 S Washington Ave
Royal Oak
MI 48067-3225
Practice Telephone 2486357309
Mailing Telephone 2486357309
Enumeration Date 2007-05-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WM0705X Registered Nurse
Specialization: Medical-Surgical
TL6068871012 CA Nursing Service Providers
Y 163WM0705X Registered Nurse
Specialization: Medical-Surgical
4704249796 MI Nursing Service Providers

Office Location

Street Address 1449 S WASHINGTON AVE
City ROYAL OAK
State MI
Zip Code 48067-3225

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Taxonomy Information

Taxonomy Code 163WM0705X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Medical-Surgical

Taxonomy Definition

Definition to come...

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1023665981 Kara Renee Mcintyre Registered Nurse 22725 S Keyes St, Taylor, MI 48180-4100 2019-08-23
1003379314 Jaina Sabu Samuel Registered Nurse 49409 W Central Park, Shelby Twp, MI 48317-6355 2019-04-12
1386163830 Dionne Lanette Wallace Registered Nurse 15730 Mok Ave, Eastpointe, MI 48021-2367 2017-09-15
1336490846 Venus Yvonne Graham Registered Nurse 16950 Martin Rd, Roseville, MI 48066-4331 2012-09-24
1346425030 Mary Louise Molis Registered Nurse 7700 92nd St Se, Caledonia, MI 49316-9593 2008-01-01
1457460222 Uaye Juliet Abai Registered Nurse 6773 Stonebrige Court, West Bloomfield, MI 48322 2006-08-29
1184635617 Patricia E Dombrowski Registered Nurse 26402 W 11 Mile Rd, Southfield, MI 48034-2248 2006-08-10
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Competitor

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City ROYAL OAK
Zip Code 48067

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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