Organization · Type 2 NPI

Mymichigan Health

Family Nurse Practitioner · Midland, MI

NPI number 1205647930 Active

Practice location

4000 Wellness Dr
Midland, MI 48670-2000

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XNone listed
Nursing Care Agency 251J00000XNone listed
Multi-Specialty Clinic/Center 261QM1300XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1205647930

Mymichigan Health's National Provider Identifier is 1205647930, issued on Jan 14, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Midland, MI. The record was last updated on Jul 21, 2025.