Marilyn Gaye Maggioncalda, RN, NP | |
16001 W 9 Mile Rd, Dept Of Neonatology, Southfield, MI 48075-4818 | |
(248) 849-3046 | |
(248) 849-8339 |
Full Name | Marilyn Gaye Maggioncalda |
---|---|
Gender | Female |
Speciality | Registered Nurse - Neonatal Intensive Care |
Location | 16001 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 |
---|---|---|---|
1497746424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WN0002X | Registered Nurse - Neonatal Intensive Care | 4704132421 (Michigan) | Primary |
Entity Name | Ascension Providence Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
Mailing Address | Practice Location Address |
---|---|
Marilyn Gaye Maggioncalda, RN, NP 25925 Telegraph Rd, 210, Southfield, MI 48034-2518 Ph: (248) 746-3218 | Marilyn Gaye Maggioncalda, RN, NP 16001 W 9 Mile Rd, Dept Of Neonatology, Southfield, MI 48075-4818 Ph: (248) 849-3046 |
Ms. Camellia Denise Huges-allen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25140 Lahser Rd, Suite 232, Southfield, MI 48033 Phone: 248-208-0553 Fax: 248-208-0558 | |
Emily Michelle Gray, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 19725 W 12 Mile Rd, Southfield, MI 48076 Phone: 248-678-5117 Fax: 248-658-8777 | |
Mark Kline, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 22170 W Nine Mile Rd, Southfield, MI 48033 Phone: 248-372-6800 | |
Cynthia Archer-gift, RN, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 16001 W 9 Mile Rd, Dept Of Behavorial Medicine, Southfield, MI 48075 Phone: 248-849-3306 Fax: 248-849-3230 | |
Denise Kerr, RN,NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Cath Lab, Southfield, MI 48075 Phone: 248-849-3924 Fax: 248-849-2717 | |
Lisa L Forrester, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 22170 W 9 Mile Rd, Southfield, MI 48033 Phone: 248-372-6800 | |
Tolulope Moradeke Jowojori, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 20905 Van Buren St, Southfield, MI 48033 Phone: 313-320-2747 |