MRS. ANNE MARIE FANO AREVALO (NPI# 1922486729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922486729 |
| Entity Type | Individual |
| Full Name | MRS. ANNE MARIE FANO AREVALO |
| Credential | MSN, RN, PMHNP-BC |
| Practice Address |
39465 W 14 Mile Rd Novi MI 48377-1600 |
| Mailing Address |
25851 Glover Ct Farmington Hills MI 48335-1237 |
| Practice Telephone | 2488593900 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 4704274016 | MI | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704274016 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
39465 W 14 MILE RD |
| City | NOVI |
| State | MI |
| Zip Code | 48377-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497893937 | Kimberly A White | Psychologist | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2007-02-04 |
| 1598325177 | Rachael Courter | Physician Assistant | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2019-06-17 |
| 1184107427 | Josilyn Goebel | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2018-09-12 |
| 1851814800 | Bcs Multi-specialty, LLC | General Practice | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2017-07-21 |
| 1366899718 | Margaret Perec | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377 | 2016-05-16 |
| 1700247772 | Kamera Sakeena Boggon | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2016-03-17 |
| 1467811638 | Steven Frederick Mason | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2016-02-16 |
| 1174996755 | Taneesha Ruff | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2015-11-04 |
| 1164816195 | Bcs of Michigan LLC | Psychologist | 39465 W 14 Mile Rd, Novi, MI 48377 | 2015-03-27 |
| 1578951729 | Michelle Modlinski | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2014-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679075758 | Andrea Campbell | Nurse Practitioner | 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 | 2018-03-05 |
| 1811421928 | Michigan Eye and Contact Lens Pllc | Optometrist | 42081 14 Mile Road, Novi, MI 48377 | 2017-04-14 |
| 1336695691 | Deanna Lynne Klein | Speech-Language Pathologist | 44140 Fox Run Road, Novi, MI 48377 | 2016-08-28 |
| 1871940973 | Jaime Durante | Nurse Practitioner | 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 | 2016-05-18 |
| 1508225624 | Trilogy Healthcare of Oakland II, LLC | Skilled Nursing Facility | 41795 W 12 Mile Road, Novi, MI 48377 | 2016-02-17 |
| 1144688854 | Hussein Azzam | Allergy & Immunology | 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 | 2016-02-09 |
| 1598120164 | Nova Counseling Services Inc. | Counselor | 41650 Clemens Circle, Novi, MI 48377 | 2015-12-23 |
| 1891174587 | Reem Mariam Mansour | Occupational Therapist | 44125 West 12 Mile Rd E-123, Novi, MI 48377 | 2015-05-27 |
| 1154747095 | Ali Hassan Ismail | Dentist | 41920 Wolfe Pass, Novi, MI 48377 | 2014-03-17 |
| 1558703876 | Twelve Oaks Orthodontics Pllc | Dentist | 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 | 2013-07-29 |
| Find all providers in zip 48377 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730653973 | Danny Lisbeth Diaz | Nurse Practitioner | 43155 Main St Ste 2316, Novi, MI 48375-1781 | 2019-01-21 |
| 1467811638 | Steven Frederick Mason | Nurse Practitioner | 39465 W 14 Mile Rd, Novi, MI 48377-1600 | 2016-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
| 1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
| 1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
| 1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
| 1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
| 1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
| 1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
| 1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
| 1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
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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.