ANN FLACK (NPI# 1336374537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336374537 |
| Entity Type | Individual |
| Full Name | ANN FLACK |
| Credential | RN |
| Practice Address |
2950 Weidemann Dr Clarkston MI 48348-1248 |
| Practice Telephone | 2486255463 |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
4704072562 | MI | Nursing Service Providers |
| Street Address |
2950 WEIDEMANN DR |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48348-1248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1134787906 | Claudia Maryann Beauvais | Peer Specialist | 4533 Sedona Dr, Clarkston, MI 48348 | 2019-06-05 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1164794251 | Kong C. Choi | Family Medicine | 8324 Caribou Trl., Clarkston, MI 48348 | 2012-02-03 |
| 1447587753 | Carrie Ann Schlicht | Occupational Therapist | 7508 Mecad Boulevard, Suite A, Clarkston, MI 48348 | 2009-11-06 |
| 1740424290 | Nedra Gean Downing | General Practice | 5715 Bella Rose Blvd., Ste 100, Clarkston, MI 48348 | 2009-04-28 |
| 1467600528 | Brian Davidson Dds PC | Dentist | 5720 Clarkston Road, Clarkston, MI 48348 | 2008-09-03 |
| 1962624957 | Keri Sue Hickmott | Social Worker | 9340 Dixie Highway, Clarkston, MI 48348 | 2007-05-02 |
| 1720209273 | Linda Carole Gualdoni | Physical Therapist | 7508 M.e. Cad Blvd., Suite A, Clarkston, MI 48348 | 2007-05-01 |
| 1396964466 | David William Regiani | Dentist | 10435 Ortonville Road, Suite B, Clarkston, MI 48348 | 2007-04-25 |
| Find all providers in zip 48348 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124539762 | Rosemary Morse | Registered Nurse | 8595 Holcomb Rd, Clarkston, MI 48348-4321 | 2017-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605619 | Felicia Simmons | Registered Nurse | 16861 Lesure St, Detroit, MI 48235-4012 | 2020-09-25 |
| 1730796764 | Rebekah J Trivilino | Registered Nurse | 619 W Houstonia Ave, Royal Oak, MI 48073-4083 | 2020-09-24 |
| 1508473653 | Latoia Pharr | Registered Nurse | 22162 Gascony Ave # L, Eastpointe, MI 48021-2574 | 2020-09-23 |
| 1093332843 | Laurence Stephen Reuben | Registered Nurse | 26070 Radclift Pl, Oak Park, MI 48237-1047 | 2020-06-28 |
| 1770105389 | Shanita Blevins | Registered Nurse | 19962 Ferguson St, Detroit, MI 48235-2431 | 2020-05-18 |
| 1558980862 | Kyesha Noble | Registered Nurse | 545 Abbey St Apt G, Muskegon, MI 49442-2155 | 2020-04-16 |
| 1568095222 | Leslie Kidd | Registered Nurse | 8904 Cedar Lake Dr, Jenison, MI 49428-9462 | 2020-02-20 |
| 1164054086 | Brenda S Vanaanhold | Registered Nurse | 643 Lynn Kay Dr Sw, Byron Center, MI 49315-8995 | 2020-02-08 |
| 1891334074 | Lachelle Sophia Carroll | Registered Nurse | 14046 Stahelin Ave, Detroit, MI 48223-2985 | 2020-01-05 |
| 1134777592 | Alicia Marie Gregg | Registered Nurse | 6024 Walton Rd, Kingsley, MI 49649-9275 | 2019-08-29 |
| 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.