Individual
MRS. MARY SUSAN NASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, ACM
Contact information
Practice address
13320 N BOULEVARD ST, VICKSBURG, MI 49097-1514
(269) 649-5643
(269) 649-3318
Mailing address
13320 N BOULEVARD ST, VICKSBURG, MI 49097-1514
(269) 649-5643
(269) 649-3318
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704233049
MI
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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