Individual
DIONNE SHEREE MARCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Mailing address
21535 VERDUN ST, FARMINGTON HILLS, MI 48336-6070
(313) 728-1684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704304422
MI
163WG0000X
General Practice Registered Nurse
Primary
4704304422
MI
163WG0000X
General Practice Registered Nurse
4794304422
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538751748
NPI
MI
Enumeration date
05/17/2021
Last updated
05/17/2021
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