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MA.GRACE CAMITAN
NPI 1700454204
Clinical Nurse Specialist - Long-Term Care in Shelby Twp, MI

Active since June 12, 2021
13794 21 MILE RD, SHELBY TWP, MI 48315(586) 532-2100 Get Directions Write a Review

NPPES record last updated: June 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ma.grace Camitan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MA.GRACE CAMITAN (NPI 1700454204) is an individual long-term care provider in Shelby Twp, Michigan, licensed in Michigan (4704287216) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1700454204
Entity TypeIndividualFemale
Primary Taxonomy364SL0600X
Provider Legal NameMA.GRACE CAMITAN
Location Address13794 21 MILE RDShelby Twp, MI 48315-4854
Mailing Address32162 Wellston DrWarren, MI 48093-8438
Phone(586) 532-2100
Sole ProprietorNo
Enumeration DateJune 12, 2021
NPPES CertifiedJune 12, 2021
✔ NPI 1700454204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Long-Term CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SL0600X
License✔ Licensed in MI · 4704287216
13794 21 MILE RD, Shelby Twp, MI 48315
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRILOGY HEALTHCARE OF MACOMB, LLC
Skilled Nursing Facility
13794 21 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-2100
LEAH KLAUSS RN
Registered Nurse
13794 21 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-2100
NELSON CHUA RN
Registered Nurse
13794 21 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-2100
TANICIA WHITESIDE COTA/L
Occupational Therapy Assistant
13794 21 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-2100
AMSAPRABHA IYYANAR REGISTERED NURSE
Registered Nurse (Medical-Surgical)
13794 21 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ma.grace Camitan's NPI number?

The NPI number for Ma.grace Camitan is 1700454204. It was assigned to this individual provider in the NPPES registry on June 12, 2021.

Where is Ma.grace Camitan located?

Ma.grace Camitan practices at 13794 21 Mile Rd, Shelby Twp, MI 48315. The listed phone number is (586) 532-2100.

What is Ma.grace Camitan's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Long-Term Care, with taxonomy code 364SL0600X.

When was this NPI record last updated?

The NPPES record for Ma.grace Camitan was last updated on June 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.