Melissa Susan Boothroyd in Warren - Pediatrics
Melissa Susan Boothroyd - NPI 1649356551
Melissa Susan Boothroyd is a Pediatrics in Warren, Michigan. Melissa Susan Boothroyd practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Melissa Susan Boothroyd is 1649356551. The last update date is 2007-07-08.
Melissa Susan Boothroyd's current location address is 23200 Ryan Rd, Warren, Michigan. You can contact this provider via phone number 5867599070. The mailing address for Melissa Susan Boothroyd is 23200 Ryan Rd, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Susan Boothroyd |
|---|---|
| Address | 23200 Ryan Rd, Warren, Michigan |
| Phone Number | 5867599070 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PNP |
NPI Number Detail
| NPI Number | 1649356551 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 23200 Ryan Rd |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480914551 |
| Phone Number | 5867599070 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 4704121618 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4667898 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Melissa Susan Boothroyd by the Centers for Medicare & Medicaid Services?
The Melissa Susan Boothroyd has been issued the NPI (National Provider Identifier) 1649356551, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Melissa Susan Boothroyd is physically located?
The Melissa Susan Boothroyd is situated at the following address: 23200 Ryan Rd, Warren, MI 480914551.
What is Melissa Susan Boothroyd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Melissa Susan Boothroyd is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 363Lp0200X.
When did the Melissa Susan Boothroyd receive its 1649356551?
The Melissa Susan Boothroyd was issued its 1649356551 on 2006-10-31, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Melissa Susan Boothroyd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Melissa Susan Boothroyd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.