Individual
GRACE LOUISE COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-AC
Contact information
Practice address
8333 FELCH ST, ZEELAND, MI 49464-2608
(616) 772-7530
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704340145
MI
363LP0200X
Pediatric Nurse Practitioner
4704340145
MI
Other
Enumeration date
07/08/2021
Last updated
06/19/2024
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