Kathy A Merillat, RN
Individual provider Active NPI Case Management Registered Nurse · Pinckney, MI
NPI 1962073288 · NPPES record last updated Jul 7, 2021
Key facts
- NPI
- 1962073288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 4704155128 (MI)
- Practice address
- 11500 Pleasant View Dr
Pinckney, MI 48169-9558 - Phone
- (734) 972-4583
- Fax
- (734) 572-1839
- NPI assigned
- Jul 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704155128 | MI | MD | Case Management Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 4704155128 | MI | Yes |
Addresses
Primary practice location
11500 Pleasant View Dr
Pinckney, MI 48169-9558
Mailing address
11500 Pleasant View Dr
Pinckney, MI 48169-9558
Phone (734) 972-4583
Other providers in Pinckney, MI
- Dawn Drumm McCalla
- Robin Lyn McDonald-Meinicke
- Sharon Marie McPhail
- Shawn Thomas Meade
- Mental Wellness Counseling Services, LLC
- Michael J. Brunner, DDS, PC
- Michele Marie Rutsey
- Michigan Rehabilitation Specialists of Pinckney LLC
- Vanessa Renee Mihela
- Dorothy Mikat
All providers in Pinckney, MI · Case Management Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.