Individual
VICTORIA ANN MERREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
323 N LINCOLN AVE, BOX 233, LAKEVIEW, MI 48850-9006
(989) 352-7800
(989) 352-8080
Mailing address
1021 E MAIN ST, EDMORE, MI 48829-8740
(989) 427-5320
(989) 427-8220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704145412
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704145412
MICHIGAN STATE
MI
01
—
5008709230
BCBSM
MI
Enumeration date
01/19/2009
Last updated
03/03/2011
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