Provider Demographics
NPI:1134315906
Name:UNIVERSITY OF MICHIGAN CARDIOVASCULAR CENTER
Entity type:Organization
Organization Name:UNIVERSITY OF MICHIGAN CARDIOVASCULAR CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HORWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:734-615-9229
Mailing Address - Street 1:1500 E MEDICAL CENTER DR
Mailing Address - Street 2:CARDIOVASCULAR CENTER, SPC 5853
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48109-5000
Mailing Address - Country:US
Mailing Address - Phone:735-615-9229
Mailing Address - Fax:734-936-7026
Practice Address - Street 1:1500 E MEDICAL CENTER DR
Practice Address - Street 2:CARDIOVASCULAR CENTER, SPC 5853
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5000
Practice Address - Country:US
Practice Address - Phone:735-615-9229
Practice Address - Fax:734-936-7026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704164830261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center