MS. SUSAN MARIE LEEGSTRA (NPI# 1700181245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700181245 |
| Entity Type | Individual |
| Full Name | MS. SUSAN MARIE LEEGSTRA |
| Credential | FNP-BC |
| Practice Address |
720 General Motors Rd Milford MI 48381-2220 |
| Mailing Address |
33310 Klein Fraser MI 48026-1953 |
| Practice Telephone | 8663892727 |
| Practice Fax Number | 4016529787 |
| Mailing Telephone | 5864840845 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704156875 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
720 GENERAL MOTORS RD |
| City | MILFORD |
| State | MI |
| Zip Code | 48381-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225140148 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 720 General Motors Rd, Milford, MI 48381-2220 | 2006-08-31 |
| 1396376315 | George John Robarge | Pharmacist | 720 General Motors Rd, Milford, MI 48381-2220 | 2020-01-29 |
| 1558992651 | Jennifer Iwick | Pharmacist | 720 General Motors Rd, Milford, MI 48381-2220 | 2020-01-28 |
| 1205467396 | Shantal Yaldo | Pharmacist | 720 General Motors Rd, Milford, MI 48381-2220 | 2020-01-28 |
| 1922417161 | Megan Lee Kaliszewski | Nurse Practitioner | 720 General Motors Rd, Milford, MI 48381 | 2014-08-12 |
| 1427483338 | Amanda Marie Yuchasz | Nurse Practitioner | 720 General Motors Rd, Milford, MI 48381-2220 | 2013-09-10 |
| 1629170089 | Deborah A Bailey | Nurse Practitioner | 720 General Motors Rd, Milford, MI 48381-2220 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710229174 | Nicole Glade | Counselor | 1800 N Milford Rd Ste 100, Milford, MI 48381 | 2013-03-25 |
| 1033469853 | Anne Isabel Reader | Counselor | 120 N. Main Suite C, Milford Counseling, Milford, MI 48381 | 2012-09-19 |
| 1285983767 | Cynthia Osborn Physical Therapy | Clinic/Center | 1100 Corporate Center Dr, Suite 100, Milford, MI 48381 | 2012-08-30 |
| 1609141506 | Kastytis Buitkus Md PC | Clinic/Center | 1265 North Milfordn Rd, Milford, MI 48381 | 2012-03-12 |
| 1902028848 | Joan Lizbeth March | Dentist | 165 S. Milford Rd, Milford, MI 48381 | 2007-05-02 |
| 1851470009 | Madden Mulder & Andrews Dds PC | Dentist | 725 Milford Rd, Milford, MI 48381 | 2006-11-06 |
| 1255364931 | Regents of The University of Michigan | Eyewear Supplier (Equipment, not the service) | 320 West Commerce Road, Milford, MI 48381 | 2006-07-08 |
| 1568491249 | Alternative Healing Arts Center, PC | Chiropractor | 1181 North Milford Rd., Suite 205, Milford, MI 48381 | 2006-07-03 |
| 1174598270 | Ruth D Kozlowski | Internal Medicine | 1265 N Milford Road, Mildord Family Practice, Milford, MI 48381 | 2006-02-22 |
| 1992271985 | Jean Marie Kindermann | Nurse Practitioner | 414 Union St, Ste 100, Milford, MI 48381 | 2018-10-17 |
| Find all providers in zip 48381 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382463 | Mallory Deel | Nurse Practitioner | 415 E Dawson Rd, Milford, MI 48381-3215 | 2020-10-06 |
| 1831718972 | Deepa Abhilash | Nurse Practitioner | Nanticoke Memorial Hospital, 801, Middleford Rd, Milford, DE 19973 | 2020-04-09 |
| 1306475306 | Advanced Telemedicine LLC | Nurse Practitioner | 6 W River St Unit 491, Milford, CT 06460-9471 | 2020-04-02 |
| 1760016778 | Erica Lynn Bogan | Nurse Practitioner | 30 Bolt Ln, Milford, CT 06461-2001 | 2020-02-28 |
| 1184136350 | Paul Inge | Nurse Practitioner | 301 Jefferson Avenue, Mail Code 3119, Milford, DE 19963 | 2017-10-27 |
| 1295184570 | Kristal Clark | Nurse Practitioner | 415 E Stoneridge Dr, Milford, OH 45150-5037 | 2016-06-08 |
| 1033583976 | Daniel Gallagher | Nurse Practitioner | 1295 Betty Ln, Milford, OH 45150-2397 | 2015-11-16 |
| 1356697312 | Connie C Catron | Nurse Practitioner | 322 N Chicago St, Hoopeston Community Memorial Hospital Dba Milford Medic, Milford, IL 60953-1012 | 2012-07-27 |
| 1114298700 | Lisa A Perna | Nurse Practitioner | 3151 Central Blvd, Milford, MI 48380-4435 | 2012-01-13 |
| 1629366265 | Camella L. Granara | Nurse Practitioner | 117 Old Wilton Rd, Milford, NH 03055-3120 | 2011-07-18 |
| Find all providers in MILFORD | ||||
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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.