Nichole Jeanette Pridemore NP

NPI 1376765214 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1376765214
Gender Female
Enumeration Date 05/02/2007
Last Updated 06/21/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
2373 64TH ST.
STE 1200
BYRON CENTER MI, 49315, US
Phone (616) 685-3910
Fax (616) 685-3923
Business Location
245 STATE ST. SE
STE 1A
GRAND RAPIDS MI, 49503, US
Phone (616) 685-8050
Fax (616) 685-1850
Toxanomy
Taxonomy Code 363LF0000X
License State Ohio
License Number 303269
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According to our database, Nichole Jeanette Pridemore NP NPI is 1376765214, taxonomy code is 363LF0000X and license number is 303269, license state is located at Ohio. Nichole Jeanette Pridemore NP physically located at 2373 64th St., Byron Center MI, 49315. NPI Number Nichole Jeanette Pridemore NP has the Individual type.

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1376765214 NPI number is provided on an as is basis without warranty of any kind. 1376765214 is maintained by the National Plan & Provider Enumeration System. The contents of Nichole Jeanette Pridemore NP are for informational purposes only.