MRS. RENEE ANNETTE MIROVSKY


Address: 4576 W Walton Blvd, Waterford, MI 48329-4077
Phone: 2486736633

MRS. RENEE ANNETTE MIROVSKY (NPI# 1740461185) 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) 1740461185
Entity Type Individual
Full Name MRS. RENEE ANNETTE MIROVSKY
Credential NP
Practice Address 4576 W Walton Blvd
Waterford
MI 48329-4077
Practice Telephone 2486736633
Practice Fax Number 2486736677
Mailing Telephone 2486736633
Mailing Fax Number 2486736677
Enumeration Date 2007-11-14
Last Update Date 2007-11-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
4704195563 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4576 W WALTON BLVD
City WATERFORD
State MI
Zip Code 48329-4077

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780158170 Jessica Louise Blodgett Counselor 4576 W Walton Blvd, Waterford, MI 48329-4905 2019-01-18
1861980609 Oakland Health Associates of Waterford and Clarkston Psychiatry & Neurology 4576 W Walton Blvd, Waterford, MI 48329-4905 2018-04-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386124139 Melissa A Blake Occupational Therapist 3257 Whitfield Ct, Waterford, MI 48329 2018-08-20
1932699741 Julianne Marie Fittonneville Counselor 4000 W Walton Blvd Ste A&b, Waterford, MI 48329 2018-05-16
1730615717 Innovative Lifestyles, Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5490 Dixie Hwy, Suite 1, Waterford, MI 48329 2017-05-11
1841670502 Kayla Brianne Dandino Speech-Language Pathologist 5601 Hatchery Rd., Waterford Township, MI 48329 2015-06-08
1093122400 Caring 4 Loved Ones, Inc Registered Nurse 3549 Lakeshore Dr., Waterford, MI 48329 2014-07-17
1124448329 Michael Alan Watson Emergency Medicine 5826 Dixie Hwy, Waterford Township, MI 48329 2014-04-27
1417263120 Metro Imaging Center Plc Dentist 4664 W. Walton Blvd., Waterford, MI 48329 2010-08-19
1225278013 S.e.t. Footcare, P.C. Podiatrist 4396-1 Dixie Hwy, Waterford, MI 48329 2009-03-06
1962556498 Mark Andrew Laszlo Dentist 4624 Walton Blvd, Waterford, MI 48329 2007-01-22
1437211927 Pankajini N Doshi Pediatrics 4299 Roseberry Ct, Waterford, MI 48329 2006-12-14
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467735944 Leah Marie Borchardt Nurse Practitioner 8309 Parkside Ln, Waterford, WI 53185-5607 2011-09-21
1811483787 Carrie L Fijal Nurse Practitioner 230 Waterford Pkwy S, Waterford, CT 06385-1219 2018-07-03
1073827465 Sarah R Donahue Nurse Practitioner 196 Parkway S, Suite 303, Waterford, CT 06385-1234 2010-07-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275130619 Mohammad Afzal Khan Nurse Practitioner 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 2020-10-08
1528679305 Eriko Apriliando Nurse Practitioner 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 2020-08-13
1245858307 Katherine Perko Hollander Nurse Practitioner 2274 Earlmont Rd, Berkley, MI 48072-1877 2020-07-06
1437782067 Jamie Lynn Kosalsky Nurse Practitioner 1385 Cadmus Dr, Troy, MI 48085-1218 2020-02-21
1326698309 Maria Christina Mekas Nurse Practitioner 423 Tamarack Dr, Saline, MI 48176-9573 2019-09-12
1669021358 Cheryl Fowler Nurse Practitioner 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 2019-09-05
1205482387 Sarah E Born Nurse Practitioner 517 Erie Street, Three Rivers, MI 49093-2029 2019-08-14
1023660321 Cheri Van Wyngarden Nurse Practitioner 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 2019-07-16
1194385500 Adesuwa Iyoha Nurse Practitioner 30509 Halecreek St, Romulus, MI 48174-3224 2019-06-18
1740740190 John Kenneth Dekock Nurse Practitioner 5327 48th Ave, Hudsonville, MI 49426-9412 2019-03-21
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Competitor

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City WATERFORD
Zip Code 48329

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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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