Individual
KATHY A MERILLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11500 PLEASANT VIEW DR, PINCKNEY, MI 48169-9558
(734) 972-4583
(734) 572-1839
Mailing address
11500 PLEASANT VIEW DR, PINCKNEY, MI 48169-9558
(734) 972-4583
(734) 572-1839
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704155128
MI
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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