Provider Demographics
NPI:1396085890
Name:DURIE, MARCY S (NP-C)
Entity type:Individual
Prefix:MRS
First Name:MARCY
Middle Name:S
Last Name:DURIE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:MARCY
Other - Middle Name:SUE
Other - Last Name:PRATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:820 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-2469
Mailing Address - Country:US
Mailing Address - Phone:231-487-9355
Mailing Address - Fax:
Practice Address - Street 1:820 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-2469
Practice Address - Country:US
Practice Address - Phone:231-487-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704170058363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily