Individual provider · Type 1 NPI

Genevieve Marie Mansour, NP

Family Nurse Practitioner · Grand Rapids, MI

NPI number 1891435194 Active

Practice location

145 Michigan St NE Ste 5500
Grand Rapids, MI 49503-2565

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704211772 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1891435194

Genevieve Marie Mansour, NP's National Provider Identifier is 1891435194, issued on Apr 1, 2022. 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 Aug 10, 2022.