Individual provider · Type 1 NPI
Courtney Joy Mulder, NP
Gerontology Nurse Practitioner · Grand Rapids, MI
NPI number
1740853225
Active
Practice location
4100 Lake Dr SE
Grand Rapids, MI 49546-8292
Mailing address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 4704271190 (MI) |
Gerontology Nurse Practitioner: Definition to come...
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- Laura Claire Goodwin, AGPCNP-BCGerontology Nurse Practitioner Grand Rapids, MI NPI 1063818326
About NPI 1740853225
Courtney Joy Mulder, NP's National Provider Identifier is 1740853225, issued on Jul 21, 2021. 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 Sep 23, 2024.