| Julius Edward Denina Cantuba, NP | |
|
40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170-4675 | |
| (574) 546-1900 | |
| (574) 546-1999 |
| Full Name | Julius Edward Denina Cantuba |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 40600 Ann Arbor Rd E Ste 201, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740052539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704354153 (Michigan) | Primary |
| 363L00000X | Nurse Practitioner | 4704354153 (Michigan) | Secondary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341 |
| Entity Name | Neurology And Pain Management Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518900620 PECOS PAC ID: 4486676095 Enrollment ID: O20160106002481 |
| Entity Name | Modern Psych And Wellness Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104674621 PECOS PAC ID: 8729529623 Enrollment ID: O20240918004675 |
| Mailing Address | Practice Location Address |
|---|---|
| Julius Edward Denina Cantuba, NP 1254 Clarion Cir, Rochester Hills, MI 48307-3641 Ph: () - | Julius Edward Denina Cantuba, NP 40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170-4675 Ph: (574) 546-1900 |
Phyllis Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40600 Ann Arbor Rd E Ste 201, Plymouth, MI 48170 Phone: 574-546-1900 Fax: 574-546-1999 | |
Kimberly Colleen Snowdon, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Thimg Primary Care - Southeast Livonia, 29370 Plymouth Rd Ste 100, Plymouth, MI 48150 Phone: 734-655-8200 Fax: 734-655-8210 | |
Deborah Sue Dunn, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6380 Napier Rd, Plymouth, MI 48170 Phone: 734-451-7553 | |
Marie Sedillo, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45211 Helm St, Plymouth, MI 48170 Phone: 734-525-9712 | |
Kyle M Farr, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 640 Starkweather St Ste C, Plymouth, MI 48170 Phone: 734-259-2804 Fax: 734-259-2805 | |
Laura Leblanc, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 768 York St, Plymouth, MI 48170 Phone: 810-287-1488 Fax: 734-462-0344 | |
Kathryn Marie Kumor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9215 Marlowe Ave, Plymouth, MI 48170 Phone: 734-673-1931 |