Organization
MERCY MEMORIAL HOSPITAL CORPORATION
Active
Organization
MERCY MEMORIAL HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY RENEE RICHARDS RN (VICE PRESIDENT OF NURSING)
(734) 240-5336
Entity
Organization
Contact information
Practice address
740 N MACOMB ST, MONROE, MI 48162-7813
(734) 240-5238
Mailing address
740 N MACOMB ST, MONROE, MI 48162-7813
(734) 240-5238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7779511
AETNA
MI
Enumeration date
06/09/2006
Last updated
08/22/2020
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