| Mrs Theresa Mary Husby, | |
|
2070 Biddle Ave, Wyandotte, MI 48192-4080 | |
| (734) 671-6741 | |
| (734) 671-1038 |
| Full Name | Mrs Theresa Mary Husby |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 2070 Biddle Ave, Wyandotte, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871032557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 4704272418 (Michigan) | Primary |
| Entity Name | Henry Ford Wyandotte Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457586646 PECOS PAC ID: 2264334499 Enrollment ID: O20040227000431 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Theresa Mary Husby, 23050 West Rd Ste 130, Brownstown Twp, MI 48183-1473 Ph: (734) 391-3057 | Mrs Theresa Mary Husby, 2070 Biddle Ave, Wyandotte, MI 48192-4080 Ph: (734) 671-6741 |
Jessica Lynn Davis, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Ford Ave, Wyandotte, MI 48192 Phone: 734-281-3080 Fax: 734-281-8815 | |
Erin Marie Jakovac, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2124 Davis St, Wyandotte, MI 48192 Phone: 734-308-3814 | |
Jamie S Howard, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Ms. Layla A Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 Fort St, Wyandotte, MI 48192 Phone: 866-389-2727 | |
Mr. Thomas Mcconnell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 Ford Ave Ste 100, Wyandotte, MI 48192 Phone: 734-281-3080 | |
Jodee M. Thornley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-324-3463 Fax: 734-246-7266 | |
Burke John-erik Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-7095 Fax: 734-246-8974 |