Charlene Walton Windham, | |
17515 W 9 Mile Rd, 375, Southfield, MI 48075-4403 | |
(248) 559-0950 | |
Not Available |
Full Name | Charlene Walton Windham |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 17515 W 9 Mile Rd, Southfield, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518336080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 4704210421 (Michigan) | Primary |
Entity Name | Laz Medical Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053310128 PECOS PAC ID: 7810887288 Enrollment ID: O20040318000870 |
Mailing Address | Practice Location Address |
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Charlene Walton Windham, 17515 W 9 Mile Rd, Ste. 375, Southfield, MI 48075-4403 Ph: () - | Charlene Walton Windham, 17515 W 9 Mile Rd, 375, Southfield, MI 48075-4403 Ph: (248) 559-0950 |
Mrs. Theonna Monique Hindmon-harris, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21700 Northwestern Hwy Ste 815, Southfield, MI 48075 Phone: 248-557-3337 Fax: 248-557-3339 | |
Charmaine Adegeye, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25240 Lahser Rd Ste 2, Southfield, MI 48033 Phone: 248-564-1367 Fax: 734-725-6746 | |
Ms. Jessica L Beacome, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, 101 Fischer Center, Southfield, MI 48075 Phone: 248-849-8716 Fax: 248-849-2565 | |
Teresea Ann Zarza, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2528 Fax: 248-849-8256 | |
Nicole Noel Silvestri, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-5806 Fax: 248-849-5489 | |
Mrs. Caroline B Trapp, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29201 Telegraph Rd, Suite 404, Southfield, MI 48034 Phone: 248-355-0880 Fax: 248-355-9232 | |
Mrs. Bernadette Ann Bruno, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-2536 |