NIKITA VANDENBOSCH

GRAND RAPIDS, MI
NPI1447689922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704250869)
Enumeration Date2013-11-05
Last Update Date2021-02-16
Business Address
NIKITA VANDENBOSCH
100 MICHIGAN ST NE MC 117
GRAND RAPIDS, MI 49503-2560
Phone number: 616-267-0118
Mailing Address
NIKITA VANDENBOSCH
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: