MELISSA MARIUTZA (NPI# 1457607251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457607251 |
| Entity Type | Individual |
| Full Name | MELISSA MARIUTZA |
| Other Name | MELISSA HINSON |
| Credential | NP |
| Practice Address |
7470 Brockway Rd Brockway MI 48097-3458 |
| Practice Telephone | 8103873211 |
| Mailing Telephone | 8103873211 |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4704220563 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4704220563 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7470 BROCKWAY RD |
| City | BROCKWAY |
| State | MI |
| Zip Code | 48097-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982574 | Kathleen Diane Coenen | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2005-06-17 |
| 1154780930 | Brianna J Steadman | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2016-02-22 |
| 1902186752 | Christine Sue Harrington | Nurse Practitioner | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2011-08-25 |
| 1407146244 | Marc Christopher Brancaccio | Pharmacist | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2011-04-13 |
| 1164601290 | Family First Health Care, Yale, P.l.l.c. | Family Medicine | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2007-10-25 |
| 1851485213 | Visiting Nurse Services of Michigan | Pharmacy | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-10-02 |
| 1720189616 | Joseph Gerard Kulczewski | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-26 |
| 1245330521 | Tara R Deters | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-25 |
| 1346341385 | Carolyn Marie Richards | Physician Assistant | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-09-25 |
| 1366551343 | Robert Ernest Bastianelli | Pharmacist | 7470 Brockway Rd, Brockway, MI 48097-3458 | 2006-08-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215065271 | Tracy Lynn Krause | Physical Therapist | 7609 Brockway Road, Yale, MI 48097 | 2007-03-01 |
| 1336247485 | Alan Rutledge Bredin | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-20 |
| 1154425312 | Hubert Frederick Conlee | Chiropractor | 211 Brockway Rd, Yale, MI 48097 | 2006-09-11 |
| 1902882814 | Seema K Doshi | Internal Medicine | 333 Gordon Drive, Yale, MI 48097 | 2005-12-22 |
| 1093887598 | Winfred Darryl Williams | Family Medicine | 333 Gordon Drive, Yale, MI 48097 | 2006-11-14 |
| 1326146317 | Mary L. Vinckier, D.d.s., P.C. | Dentist | 333 Gordon Dr., Suite B, Yale, MI 48097 | 2006-09-21 |
| 1467559849 | Mary L. Vinckier | Dentist | 333 Gordon Drive, Suite B, Yale, MI 48097 | 2006-09-20 |
| 1285277616 | Giselle Gark | Behavior Technician | 8939 Brockway Rd, Brockway, MI 48097-2403 | 2019-10-17 |
| 1811346471 | Ashley Jones | Technician, Other | 12383 Jeddo Rd, Brockway, MI 48097-2410 | 2016-06-05 |
| 1275990921 | Keith Laurain | Specialist | 11339 Jeddo Rd, Brockway, MI 48097-2511 | 2016-01-26 |
| Find all providers in zip 48097 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859731 | Cindy Clare Craig | Nurse Practitioner | 4142 Cranberry Ln, Williamsburg, MI 49690-8641 | 2020-10-19 |
| 1487269536 | Christiane Ines Atowo | Nurse Practitioner | 25420 5 Mile Rd, Redford, MI 48239-3837 | 2020-09-14 |
| 1760095137 | Gina Louise Bennett | Nurse Practitioner | 4871 Harwood Rd, Ionia, MI 48846-9422 | 2020-08-26 |
| 1356953756 | John Westley Mailey Jr. | Nurse Practitioner | 27645 Albert St, Novi, MI 48374-1012 | 2020-08-18 |
| 1356951305 | Michelle Lynn Andriacchi | Nurse Practitioner | 45690 Kenmore St, Shelby Township, MI 48317-4656 | 2020-08-05 |
| 1124646476 | Chand Sheoran | Nurse Practitioner | 3040 Albany Ct, Troy, MI 48083-2595 | 2020-07-13 |
| 1104449214 | Lynn Marie Alexanders-klima | Nurse Practitioner | 6697 Summerdale Ct E, Ypsilanti, MI 48197-6140 | 2020-05-22 |
| 1326660580 | Kristin A Furwa | Nurse Practitioner | 600 Health Park Blvd Ste H, Grand Blanc, MI 48439-2558 | 2020-05-11 |
| 1700412582 | Ashley Ruth Zimmerman | Nurse Practitioner | 6223 Brant Ln, Ypsilanti, MI 48197-8742 | 2020-03-12 |
| 1992339139 | Afusat Ahmed | Nurse Practitioner | 5231 Madison Ave Apt A5, Okemos, MI 48864-1172 | 2020-02-26 |
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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.