Individual
MELISSA MARIUTZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7470 BROCKWAY RD, BROCKWAY, MI 48097-3458
(810) 387-3211
Mailing address
7470 BROCKWAY RD, BROCKWAY, MI 48097-3458
(810) 387-3211
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704220563
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704220563
MI
Other
Enumeration date
07/30/2012
Last updated
10/24/2018
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