| NPI | 1811437817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L EMBREE Nurse Practitioner 616-540-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704267596) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-27 |