Provider Demographics
NPI:1710874714
Name:COLEMAN, MICHELE ANN MAYOR (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:ANN MAYOR
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:ANN
Other - Last Name:MAYOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:3584 TAYLOR CT
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-9232
Mailing Address - Country:US
Mailing Address - Phone:801-347-6885
Mailing Address - Fax:
Practice Address - Street 1:400 N INGALLS ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-2003
Practice Address - Country:US
Practice Address - Phone:734-763-5985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11775711-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse