Individual
MERCEDES MCGAUGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, NP
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(800) 683-6568
(313) 876-1305
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
(313) 876-1305
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704296769
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704296769
MI
363LG0600X
Gerontology Nurse Practitioner
4704296769
MI
Other
Enumeration date
05/01/2020
Last updated
10/20/2022
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