Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA ANN MERVENNE, O.T.R.
Active Sole ProprietorMRS. LISA ANN MERVENNE, O.T.R. is a Skilled Nursing Facility healthcare provider located in GRAND RAPIDS, Michigan. NPI 1922296730 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1922296730
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2007 (18.834672970003 yrs)
- Last Updated
- Oct 5, 2007
- License
-
5201000452 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2520 LAKE MICHIGAN DR NWGRAND RAPIDS, MI, 495044696Browse MI providers · Browse ZIP 49504
- Phone
- 6167356050
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Other Skilled Nursing Facility Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MR. RONALD L MEKKES JR. | COTA | 1497645329 |
| YUVONNE FREDERICK | — | 1417849043 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.