Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 4704152881 | MI |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 4704152881 | MI |
NPI | 1063502987 |
---|---|
Provider Name | Karin M Menghini |
First Address | Ann Arbor, MI 48106-0446 |
Second Address | Ypsilanti, MI 48197-1051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 17/03/2018 |