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New Vision Wellness Center LLC

Nurse Practitioner, Family in Canton, MI. Organization (NPI-2).

NPI number1639956972
StatusActive
Last updated in NPPESSep 11, 2023

Details

NPI
1639956972
Entity type
Organization (NPI-2)
Legal business name
New Vision Wellness Center LLC
Organization subpart
No
Enumeration date
Sep 11, 2023
Certification date
Sep 11, 2023
Last updated
Sep 11, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes
207QA0401X Family Medicine, Addiction Medicine––
363LP0808X Nurse Practitioner, Psych/Mental Health––

Practice location

44777 Saltz Rd
Canton, MI 48187-2982

Phone 313-529-1267

Mailing address

44777 Saltz Rd
Canton, MI 48187-2982

Phone 313-529-1267

Authorized official

Honorine N Njita
Administrator
3135291267

Is something wrong?

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Other Family Nurse Practitioner providers in Canton, MI

All 56 Family Nurse Practitioner providers in Canton · All 2,409 providers in Canton

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