IndividualActive
Miranda Zerrusen
NPI 1437759586 · Pharmacist · Mattoon, IL
Miranda Zerrusen is a Pharmacist provider in Mattoon, IL (NPI 1437759586).
Provider details
- NPI number
- 1437759586
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 051301319 (IL)
Practice location
101 Dettro Dr
Mattoon, IL 61938-9044
Phone: (172) 586-3132
Street-level locationGet directions
Mailing address
101 Dettro Dr
Mattoon, IL 61938-9044
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2020-10-28
- Certified
- 2020-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.