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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

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Child & Adolescent Psychiatric Nurse · GRAND RAPIDS, MI

Registration Details

NPI Number
1790278935
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2018 (7.8983530609898 yrs)
Last Updated
Jun 12, 2018
License
4704274564 (MI)

Practice Information

Address
300 68TH ST SE
GRAND RAPIDS, MI, 495486927
Browse MI providers · Browse ZIP 49548
Phone
6164555000
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X

Other Child & Adolescent Psychiatric Nurse Providers in GRAND RAPIDS, MI

Name Credential NPI
GAYLE RAE ANDRUS MA LLP 1326134503
MS. ROBERTA J WALSH RN.,CNP 1013089630
JANNA DAWDY RN 1760875389
MICHAEL TREECE RN 1043754070
ERIC LUND RN 1225521321
CHRISTY ANN VANHOVEN 1952895047
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.