Individual provider · Type 1 NPI

Ashley Brooke Gavin, NP

Gerontology Nurse Practitioner · Byron Center, MI

NPI number 1295373736 Active

Practice location

7751 Byron Center Ave SW Ste C
Byron Center, MI 49315-8001

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704290290 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1295373736

Ashley Brooke Gavin, NP's National Provider Identifier is 1295373736, issued on Dec 16, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Byron Center, MI. The record was last updated on Feb 26, 2021.