Provider Demographics
NPI:1841919057
Name:NERY, CATTLEYA (NP)
Entity type:Individual
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First Name:CATTLEYA
Middle Name:
Last Name:NERY
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:3955 PATIENT CARE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-4271
Mailing Address - Country:US
Mailing Address - Phone:517-374-7600
Mailing Address - Fax:855-495-5457
Practice Address - Street 1:1003 E MOUNT HOPE AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-1822
Practice Address - Country:US
Practice Address - Phone:517-853-3704
Practice Address - Fax:855-501-6733
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
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Provider Licenses
StateLicense IDTaxonomies
MI4704297256363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care