Individual
M MICHELLE KERWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1001 N POWER RD, MESA, AZ 85205-5701
(480) 472-8334
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0562
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN033433
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN033433
RN LICENSE NUMBER
AZ
Enumeration date
02/20/2007
Last updated
07/08/2007
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