Individual provider · Type 1 NPI

Katie Louise Crellin

Acute Care Nurse Practitioner · Grand Rapids, MI

NPI number 1467013425 Active

Practice location

1000 E Paris Ave SE Ste 200
Grand Rapids, MI 49546-8383

Mailing address

1931 Michigan St NE
Grand Rapids, MI 49503-2110

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704322754 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1467013425

Katie Louise Crellin's National Provider Identifier is 1467013425, issued on Jun 21, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 21, 2019.