Annette Broersma NP-C

NPI 1043300791 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1043300791
Gender Female
Enumeration Date 10/13/2006
Last Updated 06/04/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
221 MICHIGAN ST NE
SUITE 200
GRAND RAPIDS MI, 49503-2543, US
Phone (616) 486-6538
Fax
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone (616) 486-6790
Fax (616) 486-6702
Toxanomy
Taxonomy Code 363L00000X
License State Michigan
License Number 4704141380
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According to our database, Annette Broersma NP-C NPI is 1043300791, taxonomy code is 363L00000X and license number is 4704141380, license state is located at Michigan. Annette Broersma NP-C physically located at 221 Michigan St Ne, Grand Rapids MI, 49503-2543. NPI Number Annette Broersma NP-C has the Individual type.

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1043300791 NPI number is provided on an as is basis without warranty of any kind. 1043300791 is maintained by the National Plan & Provider Enumeration System. The contents of Annette Broersma NP-C are for informational purposes only.