Individual
COLLEEN MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2766 W 11 MILE RD, BERKLEY, MI 48072-3033
(248) 542-2424
(248) 542-5621
Mailing address
2766 W 11 MILE RD, BERKLEY, MI 48072-3033
(248) 542-2424
(248) 542-5621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703092260
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4703092260
NURSING LICENSE
MI
Enumeration date
08/24/2015
Last updated
08/24/2015
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