Individual provider · Type 1 NPI
Marianne Himebauch
Gerontology Nurse Practitioner · Wolverine, MI
NPI number
1336010065
Active
Practice location
12748 Shire Rd
Wolverine, MI 49799-9626
Mailing address
41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704244906 (MI) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1336010065
Marianne Himebauch's National Provider Identifier is 1336010065, issued on Sep 16, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Wolverine, MI. The record was last updated on Apr 11, 2026.