AMY-BETH MARGUERITE FUCIARELLI (NPI# 1255815882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255815882 |
| Entity Type | Individual |
| Full Name | AMY-BETH MARGUERITE FUCIARELLI |
| Credential | NP |
| Practice Address |
34815 W Michigan Ave Ste 1 Wayne MI 48184 |
| Mailing Address |
34815 W Michigan Ave Ste 1 Wayne MI 48184-1895 |
| Practice Telephone | 7347137189 |
| Mailing Telephone | 7347137189 |
| Mailing Fax Number | 7342631985 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2019-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704272593 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
34815 W MICHIGAN AVE STE 1 |
| City | WAYNE |
| State | MI |
| Zip Code | 48184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865182 | Ch Aslam Enterprises Pllc | Internal Medicine | 34815 W Michigan Ave Ste 1, Wayne, MI 48184-1895 | 2017-08-02 |
| 1235643313 | Ch Aslam Urgent Pllc | Clinic/Center | 34815 W Michigan Ave Ste 1, Wayne, MI 48184-1895 | 2017-11-28 |
| 1629582994 | Ch Aslam Urgent Pllc | Clinic/Center | 34815 W Michigan Ave Ste 1, Wayne, MI 48184-1895 | 2017-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
| 1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
| 1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
| 1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
| 1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
| 1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
| 1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
| 1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
| 1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
| 1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
| Find all providers in zip 48184 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659920700 | Sanjay Raval | Nurse Practitioner | 510 Hamburg Tpke, Wayne, NJ 07470-2025 | 2019-09-10 |
| 1275601270 | Roberta Vitcusky | Nurse Practitioner | 224 Hamburg Tpke, Wayne, NJ 07470-2111 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
| 1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
| 1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
| 1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
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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.