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NPI Code Detail

MEDICARE: MARGARET LYNN RORICK FNP-C

MEDICARE:   MARGARET LYNN RORICK  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704149161MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OF96004OTHERMEDICARE GROUP NUMBER

General Provider Information

NPI Number : 1699771857
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET LYNN RORICK FNP-C
Provider Business Mailing Address
First Line : 829 N CENTER AVE
Second Line : SUITE 298
City : GAYLORD
State : MI
Zip : 49735-1595
Country : US
Telephone Number : 989-731-7708
Fax Number : 989-731-7929
Provider Business Practice Location Address
First Line : 3696 S STRAITS HWY
Second Line :
City : INDIAN RIVER
State : MI
Zip : 49749-5136
Country : US
Telephone Number : 231-238-0581
Fax Number : 231-238-0586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 12/03/2013

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