Individual
TERRI ELLEN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E WEST MAPLE RD, WALLED LAKE, MI 48390-3571
(248) 525-6832
Mailing address
1010 E WEST MAPLE RD, WALLED LAKE, MI 48390-3571
(248) 525-6832
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704168180
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
02/03/2023
Last updated
02/03/2023
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