Individual provider · Type 1 NPI

Mallorie Stacie Bleka, FNP, DNP

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1801388277 Active

Practice location

221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537

Fax (616) 459-5215

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704335211 (MI)
Family Nurse Practitioner Primary 363LF0000X4704335211 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1801388277

Mallorie Stacie Bleka, FNP, DNP's National Provider Identifier is 1801388277, issued on Jun 1, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 9, 2022.