Search › Michigan › 363L00000X
Mariah Penny
NPI 1518747062 · on the registry since 2023
Practice
- Address
- 3650 Urban Depot Ct
Wayland, MI 49348 - Phone
- (616) 888-0533
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan