Laura Mervenne
Individual provider Active NPI Licensed Practical Nurse · Coopersville, MI
NPI 1962267906 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1962267906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703096249 (MI)
- Practice address
- 623 Birkdale CT
Coopersville, MI 49404-9668 - Phone
- (616) 460-0133
- NPI assigned
- Feb 19, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703096249 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703096249 | MI | Yes |
Addresses
Primary practice location
623 Birkdale CT
Coopersville, MI 49404-9668
Mailing address
623 Birkdale CT
Coopersville, MI 49404-9668
Other providers in Coopersville, MI
- Albert J Lafleur
- Peter Lin
- Jacob Colbert Lueder
- Maxwell McDonald Jr.
- Katie Anne McNitt
- Ardwan Meshaal
- Michigan Medical Patient Care
- Janet Marie Millermaier
- Meghan Moore
- Optima Health Services, PLLC
All providers in Coopersville, MI · Licensed Practical 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 Feb 19, 2024. 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.