Provider Demographics
NPI:1891107215
Name:NAGLEY, ANN
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:NAGLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 W WACKERLY ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2791
Mailing Address - Country:US
Mailing Address - Phone:989-486-3021
Mailing Address - Fax:989-486-1843
Practice Address - Street 1:104 W WACKERLY ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640
Practice Address - Country:US
Practice Address - Phone:989-486-3021
Practice Address - Fax:989-486-1843
Is Sole Proprietor?:No
Enumeration Date:2014-05-21
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical