Individual provider · Type 1 NPI

Mark Contreras, AGNP-C

Adult Health Nurse Practitioner · Grand Rapids, MI

NPI number 1477049518 Active

Practice location

1211 Lafayette Ave NE
Grand Rapids, MI 49505-5092

Fax (616) 331-9831

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X4704283879 (MI)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1477049518

Mark Contreras, AGNP-C's National Provider Identifier is 1477049518, issued on Jul 2, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 23, 2021.