Organization · Type 2 NPI

Michigan Medical Patient Care

Nurse Practitioner · Grand Rapids, MI

NPI number 1396801767 Active

Practice location

4100 Lake Dr SE, Suite 300
Grand Rapids, MI 49546-8292

Call (616) 974-4889 Map

Mailing address

4085 Burton St SE, Suite 200
Grand Rapids, MI 49546-2444

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396801767

Michigan Medical Patient Care's National Provider Identifier is 1396801767, issued on Dec 29, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 2, 2010.