SHELLY WISZ (NPI# 1235594342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235594342 |
| Entity Type | Individual |
| Full Name | SHELLY WISZ |
| Practice Address |
720 Old Us 27 North Marshall MI 49068 |
| Mailing Address |
720 Old U.S. 27 Marshall MI 49068 |
| Practice Telephone | 2697816600 |
| Practice Fax Number | 2697819228 |
| Mailing Telephone | 2697816600 |
| Mailing Fax Number | 2697819228 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704317586 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
720 OLD US 27 NORTH |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| 1598089542 | Mansion Street Womens Health Pllc | Obstetrics & Gynecology | 215 E Mansion St., Suite 3d, Marshall, MI 49068 | 2010-03-19 |
| Find all providers in zip 49068 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578190088 | Michelle Ann Orange | Nurse Practitioner | 230 Wagon Trl, Marshall, AR 72650-7002 | 2020-03-25 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1679135958 | Bernice Alice Theule | Nurse Practitioner | 111 S Hamilton St, Marshall, MI 49068-1537 | 2019-07-08 |
| 1891207379 | Amy Ellen Jean Howell | Nurse Practitioner | 1174 W Michigan Ave Ste B, Marshall, MI 49068-1625 | 2017-10-24 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1225587934 | Jeremy Scott Utley | Nurse Practitioner | 808 Harper Dr., Marshall, TX 75672 | 2016-09-23 |
| 1730478686 | John Lloyd English | Nurse Practitioner | 618 S Grove St Ste 100-300, Marshall, TX 75670 | 2011-03-31 |
| 1669786216 | Pamela Madden Frisby | Nurse Practitioner | 4401 Us Hwy 25/70, Marshall, NC 28753 | 2010-08-05 |
| 1427293067 | Diane Marie Weinreich | Nurse Practitioner | 4 N Jefferson Ave, Marshall, MO 65340-2148 | 2008-12-11 |
| 1861553372 | Barbara S Sherer | Nurse Practitioner | 1241 Arms St, Marshall, MI 49068-1045 | 2006-12-12 |
| Find all providers in MARSHALL | ||||
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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.