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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