Individual provider · Type 1 NPI

Wendy Anne Machuta, NURSE PRACTITIONER

Family Nurse Practitioner · Warren, MI

NPI number 1407104664 Active

Practice location

11800 E 12 Mile Rd
Warren, MI 48093-3472

Mailing address

55232 Lassen Dr
Macomb, MI 48042-1652

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704160828 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1407104664

Wendy Anne Machuta, NURSE PRACTITIONER's National Provider Identifier is 1407104664, issued on Aug 20, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Warren, MI. The record was last updated on Aug 20, 2012.