Individual provider · Type 1 NPI

Mary Jean Degrave, N.P.

Family Nurse Practitioner · Iron Mountain, MI

NPI number 1255735494 Active

Practice location

1721 S Stephenson Ave
Iron Mountain, MI 49801-3637

Mailing address

E21892 Crooked Lake Rd
Watersmeet, MI 49969-9740

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704236417 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1255735494

Mary Jean Degrave, N.P.'s National Provider Identifier is 1255735494, issued on Oct 17, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Iron Mountain, MI. The record was last updated on Oct 17, 2014.