Individual provider · Type 1 NPI

Susan Grace Passavant, NP

Acute Care Nurse Practitioner · Grand Rapids, MI

NPI number 1124406582 Active

Practice location

221 Michigan St NE Ste 400
Grand Rapids, MI 49503-2543

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704280442 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1124406582

Susan Grace Passavant, NP's National Provider Identifier is 1124406582, issued on May 18, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 26, 2019.