Basic Information
Provider Information
NPI: 1588000889
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NAIRN
FirstName: EMILY
MiddleName: MARGARET
NamePrefix: DR.
NameSuffix:  
Credential: AU.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: NAIRN-JEWELL
OtherFirstName: EMILY
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 3621 SOUTH STATE STREET
Address2: 700 KMS PLACE
City: ANN ARBOR
State: MI
PostalCode: 48108
CountryCode: US
TelephoneNumber: 7349362047
FaxNumber:  
Practice Location
Address1: 1500 EAST MEDICAL CENTER DR
Address2: 1ST FLOOR TAUBMAN CENTER RECP A
City: ANN ARBOR
State: MI
PostalCode: 481095312
CountryCode: US
TelephoneNumber: 7349368051
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/14/2013
LastUpdateDate: 10/27/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X1601000623MIY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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