Provider Demographics
NPI:1265676233
Name:MARKLE, MARY ELIZABETH (NP)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ELIZABETH
Last Name:MARKLE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:6112 BROWNS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-5671
Mailing Address - Country:US
Mailing Address - Phone:517-581-2568
Mailing Address - Fax:517-263-2890
Practice Address - Street 1:412 LONGSHORE DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-1624
Practice Address - Country:US
Practice Address - Phone:734-995-3200
Practice Address - Fax:734-995-4254
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2018-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704146927363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily