MARY BERNADETTE WALL (NPI# 1194161786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194161786 |
| Entity Type | Individual |
| Full Name | MARY BERNADETTE WALL |
| Credential | RN |
| Practice Address |
27175 Haggerty Rd Novi MI 48377-3626 |
| Mailing Address |
581 Blue Heron Dr Apt 308b Hallandale Beach FL 33009-5738 |
| Practice Telephone | 2487998303 |
| Mailing Telephone | 9178532727 |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN9211314 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467764522 | Mary Alice Wall | Counselor | 201 Lila Lane, Compass Health Skagit County Crisis Center, Burlington, WA 98223 | 2010-07-06 |
| 1780826636 | Mary Elizabeth Wall | Speech-Language Pathologist | 7 Coyote Court, Box 2290 Rdt, Nm 87557, Taos, NM 87571 | 2009-03-24 |
| 1417135559 | Mary Wall | Physical Therapist | 1446 Lawrence St, Eugene, OR 97401-4592 | 2008-01-31 |
| 1194900159 | Mary Louise Wall | Registered Nurse | W168n10737 Juniper Dr, Germantown, WI 53022-3964 | 2008-01-08 |
| 1265405237 | Mary Jean Wall | Radiology | 1001 Lakeside Ave E Ste 1200, Cleveland, OH 44114-1172 | 2006-02-09 |
| 1134689920 | Mary Rebecca Wall | Nurse Practitioner | 136 S Wilson St, Dresden, TN 38225-1133 | 2019-03-20 |
| 1265722300 | Mary Wall | Counselor | 230 Venture Cir, Nashville, TN 37228-1604 | 2011-04-11 |
| 1750593471 | Mary Claudia Wall | Social Worker | 123 W 79th St, Suite 208, New York, NY 10024-6480 | 2007-05-04 |
| Street Address |
27175 HAGGERTY RD |
| City | NOVI |
| State | MI |
| Zip Code | 48377-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225041213 | Summit Health Inc. | Contractor | 27175 Haggerty Rd, Novi, MI 48377-3626 | 2006-08-14 |
| 1942647433 | Diana Luque | Licensed Practical Nurse | 27175 Haggerty Rd, Novi, MI 48377 | 2013-05-24 |
| 1396182937 | Murielle Michelle Ingram | Registered Nurse | 27175 Haggerty Rd, Novi, MI 48377-3626 | 2013-05-22 |
| 1922304435 | Laura Molyneaux | Student in an Organized Health Care Education/Training Program | 27175 Haggerty Rd, Novi, MI 48377-3626 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205475209 | Terri Lynn Tiederman | Registered Nurse | Cns Healthcare 24230 Karim Blvd, Ste 100, Novi, MI 48375 | 2019-12-23 |
| 1083114987 | Joanne Shobe | Registered Nurse | 41613 Blair Dr, Novi, MI 48377-1543 | 2018-02-16 |
| 1407249758 | Gwendelyn Jeter | Registered Nurse | 23410 Little Rapids Ct, Apt 1911, Novi, MI 48375-3295 | 2015-03-11 |
| 1952708976 | Mary R Holland | Registered Nurse | 41521 W 11 Mile Road, Centria Healthcare LLC, Novi, MI 48475 | 2014-11-20 |
| 1750704821 | Michelle Dirette | Registered Nurse | 41651 W 11 Mile Rd, Novi, MI 48375-1804 | 2014-01-27 |
| 1417578147 | Sean Patrick Hohl | Registered Nurse | 47601 Grand River Ave, Novi, MI 48374-1233 | 2020-05-05 |
| 1851924542 | Jennifer Moore | Registered Nurse | 24230 Karim Blvd Ste 100, Novi, MI 48375-2960 | 2020-02-20 |
| 1285281931 | Raylene Marie Wiggle | Registered Nurse | 24230 Karim Blvd, Novi, MI 48375-2960 | 2019-08-19 |
| 1295208999 | Kathleen Kelly | Registered Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-01-04 |
| 1982177861 | Lareca Webber | Registered Nurse | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-01-03 |
| Find all providers in NOVI | ||||
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| 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.