Organization · Type 2 NPI
Pennock Hospital Board of Trustees
Women's Health Nurse Practitioner · Delton, MI
NPI number
1780046227
Active
Practice location
11275 Sprague Rd
Delton, MI 49046-8493
Mailing address
100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Women's Health Nurse Practitioner Primary | 363LW0102X | None listed |
Women's Health Nurse Practitioner: Definition to come...
2 other providers at this address
About NPI 1780046227
Pennock Hospital Board of Trustees's National Provider Identifier is 1780046227, issued on Mar 23, 2016. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Delton, MI. The record was last updated on Mar 23, 2016.