Organization · Type 2 NPI

Planned Parenthood of West & Northern Michigan

Obstetrics & Gynecology Nurse Practitioner · Grand Rapids, MI

NPI number 1174610406 Active

Practice location

425 Cherry Street SE, Martin/irwin Centers
Grand Rapids, MI 49503

Fax (616) 774-0516

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XNone listed
Gynecology Physician 207VG0400XNone listed
Ambulatory Family Planning Facility 261QA0005XNone listed
Non-Pharmacy Dispensing Site 332900000XNone listed
Medical Physician Assistant 363AM0700XNone listed
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XNone listed

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

About NPI 1174610406

Planned Parenthood of West & Northern Michigan's National Provider Identifier is 1174610406, issued on Oct 6, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 4, 2014.