Marilyn Chandross
Nurse Practitioner - Adult Health
44405 Woodward Ave
Pontiac
, Michigan 48341-5023
Marilyn Chandross
Nurse Practitioner - Adult Health
44405 Woodward Ave
Pontiac
, Michigan 48341-5023
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Marilyn Chandross
- 3536 Valleyview Ct
- West Bloomfield, MI
- Zip : 48323-3373
- Phone :
Second Address
- Marilyn Chandross
- 44405 Woodward Ave
- Pontiac, MI
- Zip : 48341-5023
- Phone : (248) 858-3700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 4704169530 | MI |
National Provider Identifier
| NPI | 1023352648 |
|---|---|
| Provider Name | Marilyn Chandross |
| First Address | West Bloomfield, MI 48323-3373 |
| Second Address | Pontiac, MI 48341-5023 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/11/2012 |
| Last Update Date | 20/11/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.