Shelly Evelyn Wolfrom R.N.

NPI 1780736637 - Registered Nurse - 163W00000X

NPI Details
NPI 1780736637
Gender Female
Enumeration Date 01/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
781 36TH ST SE
GRAND RAPIDS MI, 49548-2319, US
Phone (616) 248-5163
Fax (616) 243-2302
Business Location
PO BOX 141
GRAND RAPIDS MI, 49501-0141, US
Phone (616) 248-5163
Fax (616) 243-2302
Taxonomy Code 163W00000X
License State Michigan
License Number 4704251002
Remove 1780736637 NPI Number

According to our database, Shelly Evelyn Wolfrom R.N. NPI is 1780736637, taxonomy code is 163W00000X and license number is 4704251002, license state is located at Michigan. Shelly Evelyn Wolfrom R.N. physically located at 781 36th St Se, Grand Rapids MI, 49548-2319. NPI Number Shelly Evelyn Wolfrom R.N. has the Individual type.

1780736637 NPI number is provided on an as is basis without warranty of any kind. 1780736637 is maintained by the National Plan & Provider Enumeration System. The contents of Shelly Evelyn Wolfrom R.N. are for informational purposes only.