Provider Demographics
NPI:1508008681
Name:AN APPLE A DAY PC
Entity Type:Organization
Organization Name:AN APPLE A DAY PC
Other - Org Name:MARTHA M STURGEON NP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STURGEON
Authorized Official - Suffix:
Authorized Official - Credentials:MSN ACNS-BC NP
Authorized Official - Phone:248-879-2871
Mailing Address - Street 1:6963 KILLARNEY DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-2190
Mailing Address - Country:US
Mailing Address - Phone:248-879-2871
Mailing Address - Fax:
Practice Address - Street 1:6963 KILLARNEY DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-2190
Practice Address - Country:US
Practice Address - Phone:248-879-2871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704110586163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty