Individual
MS. NANCY ANN NORTHWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCA
Contact information
Practice address
27483 DEQUINDRE, STE 201, MADISON HGTS, MI 48071-5711
(248) 541-0100
(248) 399-3960
Mailing address
27483 DEQUINDRE, STE 201, MADISON HGTS, MI 48071-5711
(248) 541-0100
(248) 399-3960
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
1601000094
MI
237600000X
Audiologist-Hearing Aid Fitter
Primary
3501004618
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4812602
—
MI
05
—
4812620
—
MI
05
—
4812630
—
MI
05
—
4812649
—
MI
01
—
64OF336900
BCBSMI
MI
Enumeration date
10/25/2006
Last updated
09/09/2008
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