Ms Sally Heard, | |
4646 John R St, Detroit, MI 48201-1916 | |
(313) 576-1000 | |
(313) 576-1353 |
Full Name | Ms Sally Heard |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 4646 John R St, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851332118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 4704146735 (Michigan) | Primary |
Entity Name | Drynachan Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891044657 PECOS PAC ID: 2264718824 Enrollment ID: O20180222002240 |
Mailing Address | Practice Location Address |
---|---|
Ms Sally Heard, Po Box 2054, Farmington Hills, MI 48333-2054 Ph: () - | Ms Sally Heard, 4646 John R St, Detroit, MI 48201-1916 Ph: (313) 576-1000 |
Catherine Ann Wenz, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16411 Curtis St, Detroit, MI 48235 Phone: 313-838-6822 | |
Mikayla Spica, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Amber Marroquin, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Elena M Darby, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-343-4921 Fax: 313-343-7091 | |
Mrs. Ines Hurley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3950 Beaubien St, Detroit, MI 48201 Phone: 313-745-5437 | |
Nicole Woznicki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3901 Chrysler Dr, Detroit, MI 48201 Phone: 313-966-7601 | |
Kathleen Mclaughlin, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3980 John R, Detroit, MI 48201 Phone: 888-362-2500 |