Organization · Type 2 NPI
Riverside Psychiatric Services PLLC
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI
NPI number
1114761186
Active
Practice location
2180 44th St SE Ste 107
Grand Rapids, MI 49508-5305
Mailing address
5082 Breezefield Dr SE
Grand Rapids, MI 49512-9520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114761186
Riverside Psychiatric Services PLLC's National Provider Identifier is 1114761186, issued on Jun 24, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on May 14, 2025.