STACEY LYNN RIVET

GRAND RAPIDS, MI
NPI1659486041
Former NameSTACEY LYNN MAHONEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704225948)
Enumeration Date2006-08-19
Last Update Date2013-02-22
Business Address
Mrs. STACEY LYNN RIVET FNP
100 MICHIGAN ST NE MC 117
GRAND RAPIDS, MI 49503-2560
Phone number: 616-267-0118
Mailing Address
Mrs. STACEY LYNN RIVET FNP
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6794
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