Marissa Dawn Walker, FNP-C | |
41850 W 11 Mile Rd Ste 202, Novi, MI 48375-1857 | |
(248) 860-4634 | |
Not Available |
Full Name | Marissa Dawn Walker |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 41850 W 11 Mile Rd Ste 202, Novi, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487261392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4704304415 (Michigan) | Primary |
Entity Name | Theoria Medical |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
Mailing Address | Practice Location Address |
---|---|
Marissa Dawn Walker, FNP-C 41850 W 11 Mile Rd Ste 202, Novi, MI 48375-1857 Ph: () - | Marissa Dawn Walker, FNP-C 41850 W 11 Mile Rd Ste 202, Novi, MI 48375-1857 Ph: (248) 860-4634 |
Ashley H Edmonds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41850 W 11 Mile Rd Ste 202, Novi, MI 48375 Phone: 810-429-7859 | |
Jonathan Michael Fleezanis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 Phone: 248-476-0035 | |
Dr. Lorraine Lee Burgunder-zdravkovski, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26850 Providence Pkwy Ste 300, Novi, MI 48374 Phone: 248-766-6513 | |
Lydia Mayes Washington, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41800 W 11 Mile Rd Ste 109, Novi, MI 48375 Phone: 704-637-1182 | |
Jessica Dikhow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26090 Lannys Road, Novi, MI 48375 Phone: 248-200-9420 | |
Justine Bahoura, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42350 Grand River Ave, Novi, MI 48375 Phone: 248-697-2942 | |
Karen Driskill, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41850 W 11 Mile Rd Ste 207a, Novi, MI 48375 Phone: 248-860-4634 |