Pine Rest Christian Mental Health Services
Pine Rest Christian Mental Health Services provides Nurse Practitioner services in Grand Rapids, Michigan. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
300 68th St SEGrand Rapids, MI 49548-6927
Phone: (616) 455-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1467463604 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Pine Rest Christian Mental Heatlh Services |
| Authorized official | Diane Fennema — Managed Care Administrator · (616) 281-6372 |
| NPI enumerated | August 11, 2006 |
| Last updated in NPPES | November 4, 2020 |
| Certification date | November 4, 2020 |
| Mailing address | 300 68th St Se, Grand Rapids, MI 49548-6927 |
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