| Caroline Elena Sulich-moore, DNP, FNP-C | |
|
11900 E 12 Mile Rd Ste 201, Warren, MI 48093-3490 | |
| (586) 574-2800 | |
| Not Available |
| Full Name | Caroline Elena Sulich-moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 11900 E 12 Mile Rd Ste 201, Warren, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467238246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704361059 (Michigan) | Primary |
| Entity Name | Midwest Center For Dermatology & Pathology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003095084 PECOS PAC ID: 0446330492 Enrollment ID: O20080103000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Caroline Elena Sulich-moore, DNP, FNP-C 692 W Lincoln St, Birmingham, MI 48009-1964 Ph: (248) 914-2584 | Caroline Elena Sulich-moore, DNP, FNP-C 11900 E 12 Mile Rd Ste 201, Warren, MI 48093-3490 Ph: (586) 574-2800 |
Sharice Ratia Jhons, MSN, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 27500 Dequindre Rd, Warren, MI 48092 Phone: 586-764-3465 | |
Rowena Callo Teodoro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27560 Hoover Rd., Warren, MI 48093 Phone: 586-757-6400 Fax: 586-757-8400 | |
Mrs. Lauren Ashley Zipay, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5000 | |
Olga Dmitryuk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11480 E 13 Mile Rd, Warren, MI 48093 Phone: 586-216-9253 | |
Alexander Cole-selvaggio, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27101 Schoenherr Rd, Warren, MI 48088 Phone: 586-758-5800 Fax: 586-758-5841 | |
Jenny Dessinger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 27560 Hoover Rd, Warren, MI 48093 Phone: 586-757-6400 | |
Randon Carl Jenkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4669 E 8 Mile Rd, Warren, MI 48091 Phone: 313-416-6262 |