Individual
MIKELYN BURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
555 ST CLAIR RIVER DR, ALGONAC, MA 48001
(810) 794-7548
Mailing address
2872 HARWOOD DR, KIMBALL, MI 48074
(810) 987-6546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704089301
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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