ELIZABETH MARIE MIKULICH (NPI# 1740533736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740533736 |
| Entity Type | Individual |
| Full Name | ELIZABETH MARIE MIKULICH |
| Credential | F.N.P. |
| Practice Address |
39350 9 Mile Rd Northville MI 48167-9164 |
| Mailing Address |
7536 E Lake Dr Brighton MI 48114-8902 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 2694201420 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2013-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4702611268 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 0872418 | 01 |
| Street Address |
39350 9 MILE RD |
| City | NORTHVILLE |
| State | MI |
| Zip Code | 48167-9164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777649 | Sandra L Elliott | Nurse Practitioner | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2005-08-10 |
| 1154937654 | Jipalben S Patel | Nurse Practitioner | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2020-09-20 |
| 1396376885 | Bhaveshkumar Kothari | Pharmacist | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2020-02-03 |
| 1366073520 | Reshma Patel | Pharmacist | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2020-01-27 |
| 1710409867 | Lauren Elizabeth Northway | Physician Assistant | 39350 9 Mile Rd, Northville, MI 48167 | 2017-07-11 |
| 1053788356 | Cvs Caremark | Clinic/Center | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2015-08-21 |
| 1518356633 | Amanda Rita Hannawa | Nurse Practitioner | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2015-01-13 |
| 1043614753 | Kelley Marie Szuma | Nurse Practitioner | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2014-10-09 |
| 1023429586 | Sarah Lynn Otten | Nurse Practitioner | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2014-05-17 |
| 1235562851 | Julie Piche | Nurse Practitioner | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2013-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093277873 | Kathleen Mary Vollman | Nursing Care | 21091 Boulder Cir, Northville, MI 48167 | 2019-04-02 |
| 1851877211 | Saleh Medical Innovations Consulting Plc | Clinic/Center | 9308 Hickory Ridge Road, Northville, MI 48167 | 2018-07-18 |
| 1811488877 | Carrie Millis Babe | Marriage & Family Therapist | 23095 Kirkland Ct, Northville, MI 48167 | 2018-05-25 |
| 1134671761 | Richard Roff | Technician, Other | 3253 Lancaster Ln, Northville, MI 48167 | 2016-10-31 |
| 1508241613 | Naastar Enterprises, LLC | Non-emergency Medical Transport (VAN) | 20871 W. Glen Haven Circle, Novi, MI 48167 | 2015-07-30 |
| 1396159083 | Traci L Rasor | Registered Nurse | 143 Cadycentre Unit 250, Northville, MI 48167 | 2014-06-20 |
| 1932459930 | Amanda Lea Williams | Nurse Practitioner | 44300 Five Mile Rd, Northville Twp, MI 48167 | 2012-09-17 |
| 1346505914 | Richard Thomas Mac Laren | Emergency Medicine | 51920 8 Mile Road, Northville, MI 48167 | 2012-07-10 |
| 1053647818 | Mark S. Hunter, D.m.d. P.l.c. | Dentist | 149 N. Center, Suite 101, Northville, MI 48167 | 2009-10-28 |
| 1437384088 | Maria Conley | Dietitian, Registered | 40000 West 8 Mile Rd, Northville, MI 48167 | 2009-05-27 |
| Find all providers in zip 48167 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451259 | Nadia Piccolo | Nurse Practitioner | 42299 Sunnydale Ln, Northville, MI 48168-2048 | 2020-06-15 |
| 1831605468 | Kathryn Ann Gorsuch | Nurse Practitioner | 40474 N Northville Trl, Northville, MI 48168-3244 | 2017-12-19 |
| 1477790996 | Cheri Lynn Grassel | Nurse Practitioner | 44300 5 Mile Rd, Northville, MI 48168-9504 | 2009-01-21 |
| 1699777649 | Sandra L Elliott | Nurse Practitioner | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2005-08-10 |
| 1154937654 | Jipalben S Patel | Nurse Practitioner | 39350 9 Mile Rd, Northville, MI 48167-9164 | 2020-09-20 |
| 1285268078 | Kimberly Patrick | Nurse Practitioner | 44300 5 Mile Rd, Northville, MI 48168-9504 | 2020-03-02 |
| 1720649247 | Laila Marashi | Nurse Practitioner | 44300 5 Mile Rd, Northville, MI 48168-9504 | 2019-06-25 |
| 1386104248 | Amanda S Courneya | Nurse Practitioner | 21800 Haggerty Rd Ste 113, Northville, MI 48167-9051 | 2019-03-25 |
| 1508221409 | Chamara Mercer | Nurse Practitioner | 44300 5 Mile Rd, Northville, MI 48168-9504 | 2015-12-18 |
| 1578954301 | Antonya Marshall | Nurse Practitioner | 44300 5 Mile Rd, Northville, MI 48168-9504 | 2015-02-16 |
| Find all providers in NORTHVILLE | ||||
| City | NORTHVILLE |
| Zip Code | 48167 |
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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.