Individual
MARY A GERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704126749
MI
163WX1500X
Ostomy Care Registered Nurse
199934367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0319227
AMERICAN NURSES CREDENTIALING CENTER, CNS
MI
01
—
199934367
WOCN
MI
Enumeration date
08/18/2010
Last updated
08/18/2010
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