MAURA ANN CRESCENZO (NPI# 1518341098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518341098 |
| Entity Type | Individual |
| Full Name | MAURA ANN CRESCENZO |
| Credential | NP |
| Practice Address |
157 W Brooke Ln Blissfield MI 49228 |
| Mailing Address |
157 W Brooke Ln Blissfield MI 49228-8601 |
| Practice Telephone | 5174862411 |
| Practice Fax Number | 5174863967 |
| Mailing Telephone | 5174862411 |
| Mailing Fax Number | 5174863967 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704347832 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
17682-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0139529 | 05 | |
| MI | 1518341098 | 05 | |
| MI | MI MEDICARE | M35150171 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 157 W Brooke Ln, Blissfield, MI 492288601 | 5174862411 | 5174863967 |
| 3425 Executive Pkwy, Ste 110, Toledo, OH 436061326 | 4197206156 |
| Street Address |
157 W BROOKE LN |
| City | BLISSFIELD |
| State | MI |
| Zip Code | 49228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992781066 | Blissfield Internal Medicine | Internal Medicine | 157 W Brooke Ln, Blissfield, MI 49228-8601 | 2005-12-20 |
| 1083981302 | Promedica Corporation of Michigan | Internal Medicine | 157 W Brooke Ln, Blissfield, MI 49228-8601 | 2011-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386835999 | Great Lakes Family Dental Group Blissfield PC | Dentist | 9178 E Us 223, Great Lakes Family Dental Group Blissfield PC, Blissfield, MI 49228 | 2007-08-08 |
| 1932223344 | Linda Yarick Yarick | Counselor | 25 S Monroe, Monroe, MI 49228 | 2007-03-19 |
| 1316073703 | Promedica Corporation of Michigan | Family Medicine | 9205 East Us Highway 23, Blissfield, MI 49228 | 2007-02-27 |
| 1235214495 | Ella M Noel | Internal Medicine | 157 West Brooke Lane, Blissfield, MI 49228 | 2006-10-26 |
| 1346607611 | Renae Sauter | Occupational Therapist | 403 W Adrian St, Blissfield, MI 49228-1001 | 2016-01-18 |
| 1871150912 | Amanda Suzanna Koyl | Pharmacist | 616 W Adrian St, Blissfield, MI 49228-1005 | 2019-05-23 |
| 1417013269 | Gretchen Herzburg Boyd | Counselor | 115 N Main Street, Blissfield, MI 49228-1033 | 2006-12-28 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1861808768 | Amy Descombes | Registered Nurse | 107 1/2 W Adrian St, Blissfield, MI 49228-1201 | 2014-07-11 |
| 1861782203 | Emily Theresa Louise Quinton | Physical Therapist | 116 S Lane St, Blissfield, MI 49228-1206 | 2011-04-19 |
| Find all providers in zip 49228 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| 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 | BLISSFIELD |
| Zip Code | 49228 |
Please comment or provide details below to improve the information on MAURA ANN CRESCENZO.
| 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.