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Heather Marie Vanvallis-maczka, AGACNP-BC
Gerontology Nurse Practitioner in Mount Clemens, Michigan
NPI 1376137711

Heather Marie Vanvallis-maczka is a Gerontology Nurse Practitioner based in Clinton Township, MI and is specialized in Gerontology. Heather Marie Vanvallis-maczka practices in Mount Clemens, MI and has the professional credentials of AGACNP-BC. The NPI Number for Heather Marie Vanvallis-maczka is 1376137711 and holds a License No. 4704334264 (Michigan).

The current practice location address for Heather Marie Vanvallis-maczka is 1000 Harrington St, Mount Clemens, MI and can be reached out via phone at 586-493-8000.

Location: 1000 Harrington St, Mount Clemens, MI, 48036-2007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376137711
Provider Name
Heather Marie Vanvallis-maczka
Credential
AGACNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1000 Harrington St, Mount Clemens, MI, 48036-2007
Phone Number
586-493-8000
Fax Number
Provider Enumeration Date
02/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1000 Harrington St
City
Mount Clemens
State
Michigan
Zip
48043-2920
Phone Number
586-493-8000
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Harrington St
City
Mount Clemens
State
Michigan
Zip
48043-2920
Phone Number
586-493-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4704334264 (Michigan)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
4704334264 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
4704334264 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
4704334264 (Michigan)
Definition
Definition to come...
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