MRS. LEANN NICOLE MUNACO (NPI# 1245616788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245616788 |
| Entity Type | Individual |
| Full Name | MRS. LEANN NICOLE MUNACO |
| Credential | FNP-BC |
| Practice Address |
21300 Kelly Rd Eastpointe MI 48021-3232 |
| Practice Telephone | 5864474200 |
| Practice Fax Number | 5864474208 |
| Mailing Telephone | 5864474200 |
| Mailing Fax Number | 5864474208 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2016-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 470427012 | MI | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704270312 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21300 KELLY RD |
| City | EASTPOINTE |
| State | MI |
| Zip Code | 48021-3232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912083106 | Mark L Decco | Allergy & Immunology | 21300 Kelly Rd, Eastpointe, MI 48021 | 2006-10-31 |
| 1063950665 | Neha Russo | Nurse Practitioner | 21300 Kelly Rd, Eastpointe, MI 48021-3232 | 2017-02-03 |
| 1649356833 | Wayne N Pierantoni | Allergy & Immunology | 21300 Kelly Rd, Eastpointe, MI 48021 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588137483 | Beautiful Tomorrow Inc | Home Health | 22430 Gratiot Ave., Eastpointe, MI 48021 | 2019-01-03 |
| 1760922553 | Urgent Care Plus, PC | Clinic/Center | 16184 E 10 Mile Rd Ste 102, Eastpointe, MI 48021 | 2017-02-28 |
| 1295187961 | Danielle Wansley | Licensed Practical Nurse | 24934 Rawen Ave, Eastpointe, MI 48021 | 2016-07-06 |
| 1548615966 | Unique Burton | Licensed Practical Nurse | 15025 Charles, Eastpointe, MI 48021 | 2016-05-04 |
| 1376908707 | Dalinda Richardson | Physical Therapist | 18200 E Tenmile Road, 200, Eastpointe, MI 48021 | 2015-12-30 |
| 1780050369 | Russell Marcilis II | Prosthetic/Orthotic Supplier | 18121 E. 8 Mile Ste 100, Eastpointe, MI 48021 | 2015-08-18 |
| 1841603594 | Charlotte Loraine Kroll | Dentist | 24541 Gratiot Ave., Eastpointe, MI 48021 | 2014-06-10 |
| 1114357720 | Zuri Tanay Boyd-mcgarrity | Social Worker | 4160 Woodward, 2nd Floor, Detroit, MI 48021 | 2013-11-18 |
| 1619219888 | Bettye Ruth Edwards | Social Worker | 23721 Kelly # 7, Eas Pointe, MI 48021 | 2013-03-26 |
| 1578807392 | Angela Marie Travis | Specialist | 21062 Kelly Road, Eastpoint, MI 48021 | 2012-11-16 |
| Find all providers in zip 48021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628409 | Sharalynn Cathleen Apice | Nurse Practitioner | 23825 Petersburg Ave, Eastpointe, MI 48021-3445 | 2019-03-19 |
| 1972116192 | Julian Major Watkins Sr. | Nurse Practitioner | 22480 Kelly Rd, Eastpointe, MI 48021-2623 | 2020-08-27 |
| 1063950665 | Neha Russo | Nurse Practitioner | 21300 Kelly Rd, Eastpointe, MI 48021-3232 | 2017-02-03 |
| 1033561188 | Julia Lee Echols | Nurse Practitioner | 22301 Kelly Rd, Eastpointe, MI 48021-2619 | 2016-07-12 |
| 1942693569 | Sha'ron Travis | Nurse Practitioner | 21409 Kelly Rd, Suite 400, Eastpointe, MI 48021-3264 | 2015-03-06 |
| 1922422641 | Sharon Hromada | Nurse Practitioner | 21409 Kelly Rd, Eastpointe, MI 48021-3264 | 2014-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972339 | Zeinab Berjaoui | Nurse Practitioner | 11496 Newbern Dr, Warren, MI 48093-2613 | 2020-11-08 |
| 1134720899 | Whitney Ashton Mervau | Nurse Practitioner | 3836 Haven Hill Ln, Williamsburg, MI 49690-9536 | 2020-11-07 |
| 1063013837 | Amy Lynn Wadsworth | Nurse Practitioner | 9259 Chambord Dr, Ypsilanti, MI 48197-9281 | 2020-11-06 |
| 1821699844 | Michelle Daldine | Nurse Practitioner | 38481 Gail St, Clinton Township, MI 48036-1823 | 2020-11-05 |
| 1710588876 | Coty Cole | Nurse Practitioner | 2065 South Center Rd, Ste A, Burton, MI 48519 | 2020-11-05 |
| 1205437175 | Michelle Jo Whitesel | Nurse Practitioner | 5861 Shadow Pines Ct, Howell, MI 48843-7130 | 2020-11-05 |
| 1326649617 | Melinda Lee Hawley | Nurse Practitioner | 4019 Stark Dr, West Branch, MI 48661-9633 | 2020-11-04 |
| 1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
| 1619578234 | Devon Kruger | Nurse Practitioner | 4612 W David Hwy, Saranac, MI 48881-9740 | 2020-11-02 |
| 1760083208 | Ramonna Van Alstine | Nurse Practitioner | 13932 Fox Ridge Ln, Allenton, MI 48002-4525 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | EASTPOINTE |
| Zip Code | 48021 |
Please comment or provide details below to improve the information on MRS. LEANN NICOLE MUNACO.
| 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.