Individual
MERCY PRAKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
11446 E 13 MILE RD, WARREN, MI 48093-6571
(313) 707-0400
Mailing address
43116 HILLCREST DR, STERLING HEIGHTS, MI 48313-2359
(586) 214-7566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04170112
MI
Other
Enumeration date
05/23/2017
Last updated
08/29/2024
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