Provider Demographics
NPI:1407051691
Name:MERKEY, GERALYN MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:GERALYN
Middle Name:MARIE
Last Name:MERKEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 W JACKER AVE
Mailing Address - Street 2:
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-2256
Mailing Address - Country:US
Mailing Address - Phone:906-487-6707
Mailing Address - Fax:
Practice Address - Street 1:308 W JACKER AVE
Practice Address - Street 2:
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-2256
Practice Address - Country:US
Practice Address - Phone:906-487-6707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704256413163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse