Organization · Type 2 NPI
Countryside Health Clnic LLC
Nurse Practitioner · Marion, MI
Practice location
107 E Main Street Suite A
Marion, MI 49665
Mailing address
PO Box 1024
Cadillac, MI 49601-6024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner Primary | 363L00000X | None 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…
About NPI 1447262373
Countryside Health Clnic LLC's National Provider Identifier is 1447262373, issued on Aug 12, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Marion, MI. The record was last updated on Dec 28, 2007.