Individual
MERRYL NAMBIATHUSSERIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1135 W UNIVERSITY DR STE 425, ROCHESTER, MI 48307-1897
(248) 650-5861
Mailing address
1135 W UNIVERSITY DR STE 425, ROCHESTER, MI 48307-1897
(248) 650-5861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704304556
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336114537
—
MI
Enumeration date
03/22/2021
Last updated
03/22/2021
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