IndividualActive
Kathleen Bender, RN
NPI 1265528756 · Child & Adolescent Psychiatric/Mental Health Registered Nurse · Wayne, MI
Provider details
- NPI number
- 1265528756
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704110454 (MI)
Specialties & taxonomies
- Child & Adolescent Psychiatric/Mental Health Registered NursePrimary163WP0807XLicense 4704110454 (MI)
Nursing Service Providers
Practice location
33101 Annapolis St Ste B
Wayne, MI 48184-2405
Phone: (734) 721-0200
Fax: (734) 721-2008
Approximate (ZIP-level) locationGet directions
Mailing address
24575 Halley Crescent Dr
Grosse Ile, MI 48138-1616
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.