STEPHEN GLEN MARKHAM RN NPI 1790377331

NPI Information

NPI: 1790377331
Provider Name: STEPHEN GLEN MARKHAM, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
51350 FORD RD
CANTON, MI
ZIP 48187
Phone: (734) 560-6765
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Stephen Glen Markham, RN is a psychiatric/mental health nurse practitioner in Canton, MI with 3 years of experience. Stephen Glen Markham, RN NPI is 1790377331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

51350 FORD RD
CANTON, MI
ZIP 48187-638
Phone: (734) 560-6765

The NPI 1790377331 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/5/2021 and was last updated on 9/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	4704326909	MICHIGAN	Yes
2	163W00000X	Registered Nurse		4704326909	MICHIGAN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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