Individual
HATTIE MARCIA MCELRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
395 3RD ST, MANISTEE, MI 49660-1718
(877) 398-2013
(231) 723-1735
Mailing address
1775 PINE RIDGE DR, MANISTEE, MI 49660-8956
(231) 398-0323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704159747
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704159747
STATE OF MICHIGAN LICENSE
MI
Enumeration date
02/15/2008
Last updated
02/15/2008
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