MARCELINA REYES SOCIE


Address: 2050 N Haggerty Rd Ste 100, Canton, MI 48187-3796
Phone: 7349811086

MARCELINA REYES SOCIE (NPI# 1699296871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699296871
Entity Type Individual
Full Name MARCELINA REYES SOCIE
Credential ACNP-C
Practice Address 2050 N Haggerty Rd Ste 100
Canton
MI 48187-3796
Mailing Address 1765 Stonebridge Way Ct
Canton
MI 48188-6228
Practice Telephone 7349811086
Mailing Telephone 7343061319
Enumeration Date 2017-06-28
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
4704152589 MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6535 Drake Rd, West Bloomfield, MI 483223147 2487411701

Office Location

Street Address 2050 N HAGGERTY RD STE 100
City CANTON
State MI
Zip Code 48187-3796

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1487112942 Michigan Dialysis Services, LLC Clinic/Center 275 N Canton Center Rd, Canton, MI 48187 2019-03-04
1447734496 Integrated Health Pharmacy LLC Pharmacy 49650 Cherry Hill Rd., Canton, MI 48187 2018-09-16
1285117499 Susan Rhoton Licensed Vocational Nurse 6223 N Canton, Suite 201, Canton, MI 48187 2018-09-13
1285110767 Personalized Nursing Light House Inc Substance Abuse Rehabilitation Facility 7752 N Canton Center Rd Ste 120, Canton, MI 48187 2018-07-17
1083111793 Heydie Alejandra Orr Social Worker 5840 N Canton Center Rd Ste 221, Canton, MI 48187 2018-04-09
1285139204 Chawla Enterprises Inc Durable Medical Equipment & Medical Supplies 5840 N Canton Center Rd Ste 222, Canton, MI 48187 2018-03-30
1689192221 Arcturus Pllc Physical Therapist 5820 Lilley Rd. Suite 6, Canton, MI 48187 2017-09-04
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447872965 Gagan Preet Kaur Dhaliwal Nurse Practitioner 45418 Glengarry Blvd, Canton, MI 48188-3001 2020-05-07
1295387066 Amber Dabelstein Nurse Practitioner 6131 Fairborn Dr, Canton, MI 48187-5624 2019-07-11
1619533536 Murshed Nawaz Nurse Practitioner 543 Foster St, Canton, TX 75103-1905 2019-05-15
1871018903 James Adam Carr Nurse Practitioner 6613 Chadwick Dr, Canton, MI 48187-1639 2017-08-09
1427418409 Telehealthone, LLC Nurse Practitioner 1301 East Peace Street, Canton, MS 39046-7900 2016-03-03
1730788647 Gwendolyn Shumaker Nurse Practitioner 2600 Sixth St Sw, Canton, OH 44710-1702 2020-10-21
1316553175 Victoria Watt Nurse Practitioner 1320 Mercy Dr Nw, Canton, OH 44708-2641 2020-09-17
1164077434 Chetna Patel Nurse Practitioner 1320 Mercy Dr Nw, Canton, OH 44708-2614 2019-08-05
1811557515 Sara M Fichter Nurse Practitioner 1320 Mercy Dr Nw, Canton, OH 44708-2641 2019-06-17
1003388679 Holly Allen Nurse Practitioner 460 Northside Cherokee Blvd Ste 100, Canton, GA 30115-8017 2018-12-20
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Competitor

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City CANTON
Zip Code 48187

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Dataset Information

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.

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