Organization · Type 2 NPI
Countryside Health, PLLC
Family Nurse Practitioner · Marion, MI
NPI number
1164695839
Active
Practice location
107 E Main St Ste A
Marion, MI 49665-9642
Fax (231) 743-6081
Mailing address
PO Box 1024
Cadillac, MI 49601-6024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1164695839
Countryside Health, PLLC's National Provider Identifier is 1164695839, issued on Apr 2, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Marion, MI. The record was last updated on Apr 2, 2008.