Stephen Glen Markham, RN
Nurse Practitioner, Psych/Mental Health in Adrian, MI. Individual provider (NPI-1).
NPI number1790377331
StatusActive
Last updated in NPPESJun 4, 2025
Details
- NPI
- 1790377331
- Entity type
- Individual (NPI-1)
- Name
- Stephen Glen Markham
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 5, 2021
- Certification date
- Jun 4, 2025
- Last updated
- Jun 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 4704326909 | MI | Yes |
| 163W00000X | Registered Nurse | 4704326909 | MI |
Practice location
1200 N Main StAdrian, MI 49221-1759
Phone 517-263-1800
Mailing address
51350 Ford RdCanton, MI 48187-4638
Phone 734-560-6765
Other practice locations
51350 Ford Rd
Canton, MI 48187-4638
Canton, MI 48187-4638
Phone 734-560-6765
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Adrian, MI
- Emily M Polus, MSNNPI 1083120091
- Michelle Schroeder, PMHNPNPI 1952841165
- Dennis Wayne Simpson, MSN, PMHNP-BCNPI 1467989053
- Renee VivesNPI 1073880928
All 5 Psychiatric/Mental Health Nurse Practitioner providers in Adrian · All 1,237 providers in Adrian
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