Individual
MIRIAM MEKILA MORGAN-SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4025 HEALTH PARK LN, SAINT JOSEPH, MI 49085-3421
(269) 429-7100
(269) 429-1307
Mailing address
4025 HEALTH PARK LN, SAINT JOSEPH, MI 49085-3421
(269) 429-7100
(269) 429-1307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704269584
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023662582
—
MI
01
—
4704269584
MI LICENSE
MI
Enumeration date
08/01/2019
Last updated
02/22/2021
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