Individual provider · Type 1 NPI

Katherine Mills Duram, NP

Gerontology Nurse Practitioner · Grand Rapids, MI

NPI number 1336700756 Active

Practice location

1900 Wealthy St SE Ste 200
Grand Rapids, MI 49506-2969

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X4704310954 (MI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1336700756

Katherine Mills Duram, NP's National Provider Identifier is 1336700756, issued on Jun 26, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 15, 2021.