IndividualActive
Mary Whalen, RN,CWON
NPI 1124747373 · Wound Care Registered Nurse · Detroit, MI
Provider details
- NPI number
- 1124747373
- Entity type
- Individual
- Primary specialty
- Wound Care Registered NurseNursing Service Providers
- Credential
- RN,CWON
- Sex
- Female
- Sole proprietor
- No
- License
- 4704132381 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Approximate (ZIP-level) locationGet directions
Mailing address
4646 John R St
Detroit, MI 48201-1916
Registry dates
- Enumerated
- 2022-08-23
- Last updated
- 2022-08-23
- Certified
- 2022-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.